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Kyle David Leroy Boogaard
Peer Specialist in Hoquiam, Washington
NPI 1689285348

Kyle David Leroy Boogaard is a Peer Specialist based in Hoquiam, WA. Kyle David Leroy Boogaard practices in Hoquiam, WA. The NPI Number for Kyle David Leroy Boogaard is 1689285348 and holds a License No. (Washington).

The current practice location address for Kyle David Leroy Boogaard is 3033 Ingram St, Hoquiam, WA and can be reached out via phone at 360-964-0444.

Location: 3033 Ingram St, Hoquiam, WA, 98550-4410
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689285348
Provider Name
Kyle David Leroy Boogaard
Credential
Provider Entity Type
Individual
Gender
Male
Address
3033 Ingram St, Hoquiam, WA, 98550-4410
Phone Number
360-964-0444
Fax Number
Provider Enumeration Date
08/14/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3033 Ingram St
City
Hoquiam
State
Washington
Zip
98550-4410
Phone Number
360-964-0444
Fax Number
person
Provider Business Mailing Address Details
Address
3033 Ingram St
City
Hoquiam
State
Washington
Zip
98550-4410
Phone Number
360-964-0444
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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