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Susan Diane Carriker
Peer Specialist in Longview, Washington
NPI 1467181016

Susan Diane Carriker is a Peer Specialist based in Longview, WA. Susan Diane Carriker practices in Longview, WA. The NPI Number for Susan Diane Carriker is 1467181016 and holds a License No. (Washington).

The current practice location address for Susan Diane Carriker is 1128 Broadway St, Longview, WA and can be reached out via phone at 360-669-9199.

Location: 1128 Broadway St, Longview, WA, 98632-3831
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467181016
Provider Name
Susan Diane Carriker
Credential
Provider Entity Type
Individual
Gender
Female
Address
1128 Broadway St, Longview, WA, 98632-3831
Phone Number
360-669-9199
Fax Number
Provider Enumeration Date
06/08/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1128 Broadway St
City
Longview
State
Washington
Zip
98632-3831
Phone Number
360-669-9199
Fax Number
person
Provider Business Mailing Address Details
Address
1128 Broadway St
City
Longview
State
Washington
Zip
98632-3831
Phone Number
360-669-9199
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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