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Trisha Johnston
Peer Specialist in Longview, Washington
NPI 1457830457

Trisha Johnston is a Peer Specialist based in Longview, WA. Trisha Johnston practices in Longview, WA. The NPI Number for Trisha Johnston is 1457830457 and holds a License No. CG60606829 (Washington).

The current practice location address for Trisha Johnston is 1408 12Th Avenue, Longview, WA and can be reached out via phone at 360-998-3050 and via fax at 360-200-6736.

Location: 1408 12Th Avenue, Longview, WA, 98632
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457830457
Provider Name
Trisha Johnston
Credential
Provider Entity Type
Individual
Gender
Female
Address
1408 12Th Avenue, Longview, WA, 98632
Phone Number
360-998-3050
Fax Number
360-200-6736
Provider Enumeration Date
08/09/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2140277 05 WA
institution
Provider Business Practice Location Address Details
Address
1408 12Th Avenue
City
Longview
State
Washington
Zip
98632-3822
Phone Number
360-998-3050
Fax Number
360-200-6736
person
Provider Business Mailing Address Details
Address
1408 12Th Avenue
City
Longview
State
Washington
Zip
98632-3822
Phone Number
360-998-3050
Fax Number
360-200-6736
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
CG60606829 (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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