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Nicholas Fish, R-AAC,CPC
Peer Specialist in Longview, Washington
NPI 1407619158

Nicholas Fish is a Peer Specialist based in Longview, WA. Nicholas Fish practices in Longview, WA and has the professional credentials of R-AAC,CPC. The NPI Number for Nicholas Fish is 1407619158 and holds a License No. CG61510612 (Washington).

The current practice location address for Nicholas Fish is 1131 Broadway St, Longview, WA and can be reached out via phone at 360-998-3050 and via fax at 360-998-3051.

Location: 1131 Broadway St, Longview, WA, 98632-8455
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407619158
Provider Name
Nicholas Fish
Credential
R-AAC,CPC
Provider Entity Type
Individual
Gender
Male
Address
1131 Broadway St, Longview, WA, 98632-8455
Phone Number
360-998-3050
Fax Number
360-998-3051
Provider Enumeration Date
02/05/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1131 Broadway St
City
Longview
State
Washington
Zip
98632-3830
Phone Number
360-998-3050
Fax Number
360-998-3051
person
Provider Business Mailing Address Details
Address
1131 Broadway St
City
Longview
State
Washington
Zip
98632-3830
Phone Number
360-998-3050
Fax Number
360-998-3051
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
CG61510612 (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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