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Debra Lynne Cornwell
Peer Specialist in Centralia, Washington
NPI 1366124869

Debra Lynne Cornwell is a Peer Specialist based in Silver Creek, WA. Debra Lynne Cornwell practices in Centralia, WA. The NPI Number for Debra Lynne Cornwell is 1366124869 and holds a License No. (Washington).

The current practice location address for Debra Lynne Cornwell is 1707 Cooks Hill Rd, Centralia, WA and can be reached out via phone at 360-261-6930. You can also correspond with Debra Lynne Cornwell through the mailing address at PO BOX 255, SILVER CREEK, WA - 98585-0255 (mailing address contact number: 360-949-6578).

Location: 1707 Cooks Hill Rd, Centralia, WA, 98585-0255
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366124869
Provider Name
Debra Lynne Cornwell
Credential
Provider Entity Type
Individual
Gender
Female
Address
1707 Cooks Hill Rd, Centralia, WA, 98585-0255
Phone Number
360-261-6930
Fax Number
Provider Enumeration Date
08/03/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1707 Cooks Hill Rd
City
Centralia
State
Washington
Zip
98531-9071
Phone Number
360-261-6930
Fax Number
person
Provider Business Mailing Address Details
Address
1707 Cooks Hill Rd
City
Centralia
State
Washington
Zip
98531-9071
Phone Number
360-261-6930
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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