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Mr. Zachery E Hanke I
Peer Specialist in Centralia, Washington
NPI 1518505981

Zachery E Hanke I is a Peer Specialist based in Centralia, WA. Zachery E Hanke I practices in Centralia, WA. The NPI Number for Zachery E Hanke I is 1518505981 and holds a License No. (Washington).

The current practice location address for Zachery E Hanke I is 2428 W Reynolds Ave Ofc 185, Centralia, WA and can be reached out via phone at 360-623-8020.

Location: 2428 W Reynolds Ave Ofc 185, Centralia, WA, 98531-4554
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518505981
Provider Name
Zachery E Hanke I
Credential
Provider Entity Type
Individual
Gender
Male
Address
2428 W Reynolds Ave Ofc 185, Centralia, WA, 98531-4554
Phone Number
360-623-8020
Fax Number
Provider Enumeration Date
12/17/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2428 W Reynolds Ave Ofc 185
City
Centralia
State
Washington
Zip
98531-4554
Phone Number
360-623-8020
Fax Number
person
Provider Business Mailing Address Details
Address
2428 W Reynolds Ave Ofc 185
City
Centralia
State
Washington
Zip
98531-4554
Phone Number
360-623-8020
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
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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