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Nichole Kayleen Kunkle
Peer Specialist in Longview, Washington
NPI 1326760620

Nichole Kayleen Kunkle is a Peer Specialist based in Longview, WA. Nichole Kayleen Kunkle practices in Longview, WA. The NPI Number for Nichole Kayleen Kunkle is 1326760620 and holds a License No. (Washington).

The current practice location address for Nichole Kayleen Kunkle is 1128 Broadway St, Longview, WA and can be reached out via phone at 360-669-9018.

Location: 1128 Broadway St, Longview, WA, 98632-3831
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326760620
Provider Name
Nichole Kayleen Kunkle
Credential
Provider Entity Type
Individual
Gender
Female
Address
1128 Broadway St, Longview, WA, 98632-3831
Phone Number
360-669-9018
Fax Number
Provider Enumeration Date
09/13/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1128 Broadway St
City
Longview
State
Washington
Zip
98632-3831
Phone Number
360-669-9018
Fax Number
person
Provider Business Mailing Address Details
Address
1128 Broadway St
City
Longview
State
Washington
Zip
98632-3831
Phone Number
360-669-9018
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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