person
Jacob Phillips, CPC
Peer Specialist in Ridgefield, Washington
NPI 1770211047

Jacob Phillips is a Peer Specialist based in Battle Ground, WA. Jacob Phillips practices in Ridgefield, WA and has the professional credentials of CPC. The NPI Number for Jacob Phillips is 1770211047 and holds a License No. CG61240416 (Washington).

The current practice location address for Jacob Phillips is 21810 Ne 37Th Ave, Ridgefield, WA and can be reached out via phone at 360-241-5695.

Location: 21810 Ne 37Th Ave, Ridgefield, WA, 98604-1299
person
Provider Profile Details
NPI Number
1770211047
Provider Name
Jacob Phillips
Credential
CPC
Provider Entity Type
Individual
Gender
Male
Address
21810 Ne 37Th Ave, Ridgefield, WA, 98604-1299
Phone Number
360-241-5695
Fax Number
Provider Enumeration Date
08/12/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
21810 Ne 37Th Ave
City
State
Zip
98642-7747
Phone Number
360-241-5695
Fax Number
person
Provider Business Mailing Address Details
Address
21810 Ne 37Th Ave
City
State
Zip
98642-7747
Phone Number
360-241-5695
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
CG61240416 (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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