Evelyn Mire is a Peer Specialist based in Seattle, WA. Evelyn Mire practices in Colville, WA. The NPI Number for Evelyn Mire is 1679042584 and holds a License No. CG60153360 (Washington).
The current practice location address for Evelyn Mire is 165 E Hawthorne Ave, Colville, WA and can be reached out via phone at 509-684-4597.
Location: 165 E Hawthorne Ave, Colville, WA, 98144-4644
Provider Profile Details
NPI Number
1679042584
Provider Name
Evelyn Mire
Credential
Provider Entity Type
Individual
Gender
Female
Address
165 E Hawthorne Ave, Colville, WA, 98144-4644
Phone Number
509-684-4597
Fax Number
Provider Enumeration Date
11/20/2018
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1026117 | 05 | WA |
Provider Business Practice Location Address Details
Address
165 E Hawthorne Ave
City
State
Zip
99114-2629
Phone Number
509-684-4597
Fax Number
Provider Business Mailing Address Details
Address
165 E Hawthorne Ave
City
State
Zip
99114-2629
Phone Number
509-684-4597
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
CG60153360 (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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