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Lydia Catherine Cicarelli, CPC
Peer Specialist in Spokane, Washington
NPI 1407515026

Lydia Catherine Cicarelli is a Peer Specialist based in Spokane, WA. Lydia Catherine Cicarelli practices in Spokane, WA and has the professional credentials of CPC. The NPI Number for Lydia Catherine Cicarelli is 1407515026 and holds a License No. CG61227010 (Washington).

The current practice location address for Lydia Catherine Cicarelli is 901 N Monroe St Ste 201, Spokane, WA and can be reached out via phone at 509-608-8816.

Location: 901 N Monroe St Ste 201, Spokane, WA, 99205-5141
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407515026
Provider Name
Lydia Catherine Cicarelli
Credential
CPC
Provider Entity Type
Individual
Gender
Female
Address
901 N Monroe St Ste 201, Spokane, WA, 99205-5141
Phone Number
509-608-8816
Fax Number
Provider Enumeration Date
12/10/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CG61227010 05 WA
institution
Provider Business Practice Location Address Details
Address
901 N Monroe St Ste 201
City
Spokane
State
Washington
Zip
99201-2148
Phone Number
509-608-8816
Fax Number
person
Provider Business Mailing Address Details
Address
901 N Monroe St Ste 201
City
Spokane
State
Washington
Zip
99201-2148
Phone Number
509-608-8816
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
CG61227010 (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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