person
Mr. Mark Todd Stucker
Peer Specialist in Spokane, Washington
NPI 1619477031

Mark Todd Stucker is a Peer Specialist based in Spokane, WA. Mark Todd Stucker practices in Spokane, WA. The NPI Number for Mark Todd Stucker is 1619477031 and holds a License No. CG60538209 (Washington).

The current practice location address for Mark Todd Stucker is 12 E 5Th Ave # 2253, Spokane, WA and can be reached out via phone at 509-242-2308 and via fax at 509-455-4988.

Location: 12 E 5Th Ave # 2253, Spokane, WA, 99202-1309
person
Provider Profile Details
NPI Number
1619477031
Provider Name
Mark Todd Stucker
Credential
Provider Entity Type
Individual
Gender
Male
Address
12 E 5Th Ave # 2253, Spokane, WA, 99202-1309
Phone Number
509-242-2308
Fax Number
509-455-4988
Provider Enumeration Date
02/13/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12 E 5Th Ave # 2253
City
State
Zip
99202-1309
Phone Number
509-242-2308
Fax Number
509-455-4988
person
Provider Business Mailing Address Details
Address
12 E 5Th Ave # 2253
City
State
Zip
99202-1309
Phone Number
509-242-2308
Fax Number
509-455-4988
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
CG60538209 (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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