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Mira R Kangas
Peer Specialist in Longview, Washington
NPI 1659853869

Mira R Kangas is a Peer Specialist based in Longview, WA. Mira R Kangas practices in Longview, WA. The NPI Number for Mira R Kangas is 1659853869 and holds a License No. (Washington).

The current practice location address for Mira R Kangas is 748 14Th Ave, Longview, WA and can be reached out via phone at 360-200-5419. You can also correspond with Mira R Kangas through the mailing address at 748 14TH AVE, LONGVIEW, WA - 98632-2315 (mailing address contact number: ).

Location: 748 14Th Ave, Longview, WA, 98632-2315
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659853869
Provider Name
Mira R Kangas
Credential
Provider Entity Type
Individual
Gender
Female
Address
748 14Th Ave, Longview, WA, 98632-2315
Phone Number
360-200-5419
Fax Number
Provider Enumeration Date
09/04/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
748 14Th Ave
City
Longview
State
Washington
Zip
98632-2315
Phone Number
360-200-5419
Fax Number
person
Provider Business Mailing Address Details
Address
748 14Th Ave
City
Longview
State
Washington
Zip
98632-2315
Phone Number
360-200-5419
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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