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Hilary Gwen Don't Mix, AAC,SUDPT
Peer Specialist in Longview, Washington
NPI 1760117378

Hilary Gwen Don't Mix is a Peer Specialist based in Longview, WA. Hilary Gwen Don't Mix practices in Longview, WA and has the professional credentials of AAC,SUDPT. The NPI Number for Hilary Gwen Don't Mix is 1760117378 and holds a License No. CO61424315 (Washington).

The current practice location address for Hilary Gwen Don't Mix is 900 Fir St, Longview, WA and can be reached out via phone at 360-575-3316 and via fax at 360-423-7813.

Location: 900 Fir St, Longview, WA, 98632-8486
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760117378
Provider Name
Hilary Gwen Don't Mix
Credential
AAC,SUDPT
Provider Entity Type
Individual
Gender
Female
Address
900 Fir St, Longview, WA, 98632-8486
Phone Number
360-575-3316
Fax Number
360-423-7813
Provider Enumeration Date
07/18/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
900 Fir St
City
Longview
State
Washington
Zip
98632-2544
Phone Number
360-575-3316
Fax Number
360-423-7813
person
Provider Business Mailing Address Details
Address
900 Fir St
City
Longview
State
Washington
Zip
98632-2544
Phone Number
360-575-3316
Fax Number
360-423-7813
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
CG61315486 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
CO61424315 (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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