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Elizabeth Wangler, CG61223446
Peer Specialist in Yakima, Washington
NPI 1134874357

Elizabeth Wangler is a Peer Specialist based in Yakima, WA. Elizabeth Wangler practices in Yakima, WA and has the professional credentials of CG61223446. The NPI Number for Elizabeth Wangler is 1134874357 and holds a License No. 61223446 (Washington).

The current practice location address for Elizabeth Wangler is 124 S 3Rd St, Yakima, WA and can be reached out via phone at 509-571-4288.

Location: 124 S 3Rd St, Yakima, WA, 98907-2849
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134874357
Provider Name
Elizabeth Wangler
Credential
CG61223446
Provider Entity Type
Individual
Gender
Female
Address
124 S 3Rd St, Yakima, WA, 98907-2849
Phone Number
509-571-4288
Fax Number
Provider Enumeration Date
02/16/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
91-0755984 05 WA
institution
Provider Business Practice Location Address Details
Address
124 S 3Rd St
City
Yakima
State
Washington
Zip
98901-2828
Phone Number
509-571-4288
Fax Number
person
Provider Business Mailing Address Details
Address
124 S 3Rd St
City
Yakima
State
Washington
Zip
98901-2828
Phone Number
509-571-4288
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
61223446 (Washington)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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