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Hope K Wagoner, AAC,CPC
Peer Specialist in Longview, Washington
NPI 1659947687

Hope K Wagoner is a Peer Specialist based in Longview, WA. Hope K Wagoner practices in Longview, WA and has the professional credentials of AAC,CPC. The NPI Number for Hope K Wagoner is 1659947687 and holds a License No. CG61175556 (Washington).

The current practice location address for Hope K Wagoner is 748 14Th Ave, Longview, WA and can be reached out via phone at 360-200-5419.

Location: 748 14Th Ave, Longview, WA, 98632-8455
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659947687
Provider Name
Hope K Wagoner
Credential
AAC,CPC
Provider Entity Type
Individual
Gender
Female
Address
748 14Th Ave, Longview, WA, 98632-8455
Phone Number
360-200-5419
Fax Number
Provider Enumeration Date
06/01/2021
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.
CG61175556 (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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