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Wendell Middlebrooks
Peer Specialist in Fife, Washington
NPI 1356810790

Wendell Middlebrooks is a Peer Specialist based in Fife, WA. Wendell Middlebrooks practices in Fife, WA. The NPI Number for Wendell Middlebrooks is 1356810790 and holds a License No. (Washington).

The current practice location address for Wendell Middlebrooks is 2150 Freeman Rd E, Fife, WA and can be reached out via phone at 253-942-5644 and via fax at 253-235-5216.

Location: 2150 Freeman Rd E, Fife, WA, 98424-3776
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356810790
Provider Name
Wendell Middlebrooks
Credential
Provider Entity Type
Individual
Gender
Male
Address
2150 Freeman Rd E, Fife, WA, 98424-3776
Phone Number
253-942-5644
Fax Number
253-235-5216
Provider Enumeration Date
11/15/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2150 Freeman Rd E
City
Fife
State
Washington
Zip
98424-3776
Phone Number
253-942-5644
Fax Number
253-235-5216
person
Provider Business Mailing Address Details
Address
2150 Freeman Rd E
City
Fife
State
Washington
Zip
98424-3776
Phone Number
253-942-5644
Fax Number
253-235-5216
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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