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Miss Falisha Irene Bazemore, CMA
Peer Specialist in Centralia, Washington
NPI 1245848589

Falisha Irene Bazemore is a Peer Specialist based in Centralia, WA. Falisha Irene Bazemore practices in Centralia, WA and has the professional credentials of CMA. The NPI Number for Falisha Irene Bazemore is 1245848589 and holds a License No. (Washington).

The current practice location address for Falisha Irene Bazemore is 2428 W Reynolds Ave, Centralia, WA and can be reached out via phone at 360-330-9044.

Location: 2428 W Reynolds Ave, Centralia, WA, 98531-4554
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245848589
Provider Name
Falisha Irene Bazemore
Credential
CMA
Provider Entity Type
Individual
Gender
Female
Address
2428 W Reynolds Ave, Centralia, WA, 98531-4554
Phone Number
360-330-9044
Fax Number
Provider Enumeration Date
07/22/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2428 W Reynolds Ave
City
Centralia
State
Washington
Zip
98531-4554
Phone Number
360-330-9044
Fax Number
person
Provider Business Mailing Address Details
Address
2428 W Reynolds Ave
City
Centralia
State
Washington
Zip
98531-4554
Phone Number
360-330-9044
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
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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