person
Keavy Nakia Blalock JR.
Peer Specialist in Tacoma, Washington
NPI 1255001376

Keavy Nakia Blalock JR. is a Peer Specialist based in Tacoma, WA. Keavy Nakia Blalock JR. practices in Tacoma, WA. The NPI Number for Keavy Nakia Blalock JR. is 1255001376 and holds a License No. (Washington).

The current practice location address for Keavy Nakia Blalock JR. is 2201 S 19Th St, Tacoma, WA and can be reached out via phone at 253-495-5270.

Location: 2201 S 19Th St, Tacoma, WA, 98405-2962
person
Provider Profile Details
NPI Number
1255001376
Provider Name
Keavy Nakia Blalock JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
2201 S 19Th St, Tacoma, WA, 98405-2962
Phone Number
253-495-5270
Fax Number
Provider Enumeration Date
09/20/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2201 S 19Th St
City
State
Zip
98405-2962
Phone Number
253-495-5270
Fax Number
person
Provider Business Mailing Address Details
Address
2201 S 19Th St
City
State
Zip
98405-2962
Phone Number
253-495-5270
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
(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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