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Jodie Bosma
Peer Specialist in Puyallup, Washington
NPI 1336610492

Jodie Bosma is a Peer Specialist based in Phoenix, WA. Jodie Bosma practices in Puyallup, WA. The NPI Number for Jodie Bosma is 1336610492 and holds a License No. CG60632913 (Washington).

The current practice location address for Jodie Bosma is 800 S Meridian Ste A&B, Puyallup, WA and can be reached out via phone at 253-235-5216 and via fax at 253-235-5216.

Location: 800 S Meridian Ste A&B, Puyallup, WA, 85006-1266
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336610492
Provider Name
Jodie Bosma
Credential
Provider Entity Type
Individual
Gender
Female
Address
800 S Meridian Ste A&B, Puyallup, WA, 85006-1266
Phone Number
253-235-5216
Fax Number
253-235-5216
Provider Enumeration Date
12/16/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
800 S Meridian Ste A&B
City
Puyallup
State
Washington
Zip
98371-6995
Phone Number
253-235-5216
Fax Number
253-235-5216
person
Provider Business Mailing Address Details
Address
800 S Meridian Ste A&B
City
Puyallup
State
Washington
Zip
98371-6995
Phone Number
253-235-5216
Fax Number
253-235-5216
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
CG60632913 (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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