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Brian Tyrell White
Peer Specialist in Omak, Washington
NPI 1396218566

Brian Tyrell White is a Peer Specialist based in Omak, WA. Brian Tyrell White practices in Omak, WA. The NPI Number for Brian Tyrell White is 1396218566 and holds a License No. CG60878786 (Washington).

The current practice location address for Brian Tyrell White is 1007 Koala Dr, Omak, WA and can be reached out via phone at 509-826-6191 and via fax at 509-826-3029.

Location: 1007 Koala Dr, Omak, WA, 98841-9247
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396218566
Provider Name
Brian Tyrell White
Credential
Provider Entity Type
Individual
Gender
Male
Address
1007 Koala Dr, Omak, WA, 98841-9247
Phone Number
509-826-6191
Fax Number
509-826-3029
Provider Enumeration Date
01/09/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1007 Koala Dr
City
Omak
State
Washington
Zip
98841-9247
Phone Number
509-826-6191
Fax Number
509-826-3029
person
Provider Business Mailing Address Details
Address
1007 Koala Dr
City
Omak
State
Washington
Zip
98841-9247
Phone Number
509-826-6191
Fax Number
509-826-3029
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
CG60878786 (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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