person
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
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
State
Zip
98632-2315
Phone Number
360-423-0203
Fax Number
360-577-0187
person
Provider Business Mailing Address Details
Address
720 14Th Ave
City
State
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
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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