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Lawrence Dockery, CG61106653
Peer Specialist in Vancouver, Washington
NPI 1669043188

Lawrence Dockery is a Peer Specialist based in Vancouver, WA. Lawrence Dockery practices in Vancouver, WA and has the professional credentials of CG61106653. The NPI Number for Lawrence Dockery is 1669043188 and holds a License No. CG61106653 (Washington).

The current practice location address for Lawrence Dockery is 1601 E Fourth Plain Blvd, Vancouver, WA and can be reached out via phone at 360-205-1222.

Location: 1601 E Fourth Plain Blvd, Vancouver, WA, 98665-1065
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Provider Profile Details
NPI Number
1669043188
Provider Name
Lawrence Dockery
Credential
CG61106653
Provider Entity Type
Individual
Gender
Female
Address
1601 E Fourth Plain Blvd, Vancouver, WA, 98665-1065
Phone Number
360-205-1222
Fax Number
Provider Enumeration Date
07/06/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1601 E Fourth Plain Blvd
City
State
Zip
98661-3713
Phone Number
360-205-1222
Fax Number
person
Provider Business Mailing Address Details
Address
1601 E Fourth Plain Blvd
City
State
Zip
98661-3713
Phone Number
360-205-1222
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
CG61106653 (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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