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Jose Osvaldo Fariaz
Peer Specialist in Moses Lake, Washington
NPI 1366152068

Jose Osvaldo Fariaz is a Peer Specialist based in Moses Lake, WA. Jose Osvaldo Fariaz practices in Moses Lake, WA. The NPI Number for Jose Osvaldo Fariaz is 1366152068 and holds a License No. (Washington).

The current practice location address for Jose Osvaldo Fariaz is 840 E Plum St, Moses Lake, WA and can be reached out via phone at 509-765-9239.

Location: 840 E Plum St, Moses Lake, WA, 98837
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366152068
Provider Name
Jose Osvaldo Fariaz
Credential
Provider Entity Type
Individual
Gender
Male
Address
840 E Plum St, Moses Lake, WA, 98837
Phone Number
509-765-9239
Fax Number
Provider Enumeration Date
12/05/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
840 E Plum St
City
Moses Lake
State
Washington
Zip
98837-1874
Phone Number
509-765-9239
Fax Number
person
Provider Business Mailing Address Details
Address
840 E Plum St
City
Moses Lake
State
Washington
Zip
98837-1874
Phone Number
509-765-9239
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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