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Mr. Scott Robertson JR., CG60940327
Peer Specialist in Chehalis, Washington
NPI 1326505926

Scott Robertson JR. is a Peer Specialist based in Centralia, WA. Scott Robertson JR. practices in Chehalis, WA and has the professional credentials of CG60940327. The NPI Number for Scott Robertson JR. is 1326505926 and holds a License No. (Washington).

The current practice location address for Scott Robertson JR. is 151 N Market Blvd Ste D, Chehalis, WA and can be reached out via phone at 360-948-0288. You can also correspond with Scott Robertson JR. through the mailing address at 115 JALYN ST, CENTRALIA, WA - 98531-1730 (mailing address contact number: 360-807-3597).

Location: 151 N Market Blvd Ste D, Chehalis, WA, 98531-1730
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326505926
Provider Name
Scott Robertson JR.
Credential
CG60940327
Provider Entity Type
Individual
Gender
Male
Address
151 N Market Blvd Ste D, Chehalis, WA, 98531-1730
Phone Number
360-948-0288
Fax Number
Provider Enumeration Date
03/01/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CG60940327 01 WA COUNSELOR AGENCY AFFILIATED REGISTRATION
institution
Provider Business Practice Location Address Details
Address
151 N Market Blvd Ste D
City
Chehalis
State
Washington
Zip
98532-2677
Phone Number
360-948-0288
Fax Number
person
Provider Business Mailing Address Details
Address
151 N Market Blvd Ste D
City
Chehalis
State
Washington
Zip
98532-2677
Phone Number
360-948-0288
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
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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