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Mark D Stevens
Peer Specialist in Puyallup, Washington
NPI 1477022440

Mark D Stevens is a Peer Specialist based in Phoenix, WA. Mark D Stevens practices in Puyallup, WA. The NPI Number for Mark D Stevens is 1477022440 and holds a License No. CG60273952 (Washington).

The current practice location address for Mark D Stevens is 800 S Meridian Ste A&B, Puyallup, WA and can be reached out via phone at 253-235-5216 and via fax at 253-235-5216. You can also correspond with Mark D Stevens through the mailing address at 2701 N 16TH ST STE 316, PHOENIX, AZ - 85006-1266 (mailing address contact number: ).

Location: 800 S Meridian Ste A&B, Puyallup, WA, 85006-1266
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477022440
Provider Name
Mark D Stevens
Credential
Provider Entity Type
Individual
Gender
Male
Address
800 S Meridian Ste A&B, Puyallup, WA, 85006-1266
Phone Number
253-235-5216
Fax Number
253-235-5216
Provider Enumeration Date
11/19/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
800 S Meridian Ste A&B
City
Puyallup
State
Washington
Zip
98371-6995
Phone Number
253-235-5216
Fax Number
253-235-5216
person
Provider Business Mailing Address Details
Address
800 S Meridian Ste A&B
City
Puyallup
State
Washington
Zip
98371-6995
Phone Number
253-235-5216
Fax Number
253-235-5216
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
CG60273952 (Washington)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
CG60273952 (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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