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Cassondra Fuller
Peer Specialist in White Salmon, Washington
NPI 1457948002

Cassondra Fuller is a Peer Specialist based in Yakima, WA. Cassondra Fuller practices in White Salmon, WA. The NPI Number for Cassondra Fuller is 1457948002 and holds a License No. (Washington).

The current practice location address for Cassondra Fuller is 432 Ne Tohomish St, White Salmon, WA and can be reached out via phone at 509-575-4084.

Location: 432 Ne Tohomish St, White Salmon, WA, 98907-0959
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457948002
Provider Name
Cassondra Fuller
Credential
Provider Entity Type
Individual
Gender
Female
Address
432 Ne Tohomish St, White Salmon, WA, 98907-0959
Phone Number
509-575-4084
Fax Number
Provider Enumeration Date
12/30/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
432 Ne Tohomish St
City
White Salmon
State
Washington
Zip
98672-1940
Phone Number
509-575-4084
Fax Number
person
Provider Business Mailing Address Details
Address
432 Ne Tohomish St
City
White Salmon
State
Washington
Zip
98672-1940
Phone Number
509-575-4084
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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