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Jillian Shelby Brockmoller
Peer Specialist in Longview, Washington
NPI 1821788266

Jillian Shelby Brockmoller is a Peer Specialist based in Longview, WA. Jillian Shelby Brockmoller practices in Longview, WA. The NPI Number for Jillian Shelby Brockmoller is 1821788266 and holds a License No. (Washington).

The current practice location address for Jillian Shelby Brockmoller is 720 14Th Ave, Longview, WA and can be reached out via phone at 360-423-0203 and via fax at 360-577-0187.

Location: 720 14Th Ave, Longview, WA, 98632-8140
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821788266
Provider Name
Jillian Shelby Brockmoller
Credential
Provider Entity Type
Individual
Gender
Female
Address
720 14Th Ave, Longview, WA, 98632-8140
Phone Number
360-423-0203
Fax Number
360-577-0187
Provider Enumeration Date
05/09/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
720 14Th Ave
City
Longview
State
Washington
Zip
98632-2315
Phone Number
360-423-0203
Fax Number
360-577-0187
person
Provider Business Mailing Address Details
Address
720 14Th Ave
City
Longview
State
Washington
Zip
98632-2315
Phone Number
360-423-0203
Fax Number
360-577-0187
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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