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Justin Wimpress
Peer Specialist in Centralia, Washington
NPI 1780206409

Justin Wimpress is a Peer Specialist based in Castle Rock, WA. Justin Wimpress practices in Centralia, WA. The NPI Number for Justin Wimpress is 1780206409 and holds a License No. (Washington).

The current practice location address for Justin Wimpress is 1707 Cooks Hill Rd, Centralia, WA and can be reached out via phone at 360-523-8762.

Location: 1707 Cooks Hill Rd, Centralia, WA, 98611-1165
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780206409
Provider Name
Justin Wimpress
Credential
Provider Entity Type
Individual
Gender
Male
Address
1707 Cooks Hill Rd, Centralia, WA, 98611-1165
Phone Number
360-523-8762
Fax Number
Provider Enumeration Date
05/15/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1707 Cooks Hill Rd
City
Centralia
State
Washington
Zip
98531-9071
Phone Number
360-523-8762
Fax Number
person
Provider Business Mailing Address Details
Address
1707 Cooks Hill Rd
City
Centralia
State
Washington
Zip
98531-9071
Phone Number
360-523-8762
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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