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Angela Lynn Dietrich
Peer Specialist in Ellensburg, Washington
NPI 1528667268

Angela Lynn Dietrich is a Peer Specialist based in Ellensburg, WA. Angela Lynn Dietrich practices in Ellensburg, WA. The NPI Number for Angela Lynn Dietrich is 1528667268 and holds a License No. (Washington).

The current practice location address for Angela Lynn Dietrich is 200 E 3Rd Ave, Ellensburg, WA and can be reached out via phone at 509-968-6757.

Location: 200 E 3Rd Ave, Ellensburg, WA, 98926-3347
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528667268
Provider Name
Angela Lynn Dietrich
Credential
Provider Entity Type
Individual
Gender
Female
Address
200 E 3Rd Ave, Ellensburg, WA, 98926-3347
Phone Number
509-968-6757
Fax Number
Provider Enumeration Date
10/23/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
200 E 3Rd Ave
City
Ellensburg
State
Washington
Zip
98926-3347
Phone Number
509-968-6757
Fax Number
person
Provider Business Mailing Address Details
Address
200 E 3Rd Ave
City
Ellensburg
State
Washington
Zip
98926-3347
Phone Number
509-968-6757
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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