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Russell Franklin Matthynssens, CPC
Peer Specialist in Omak, Washington
NPI 1871065292

Russell Franklin Matthynssens is a Peer Specialist based in Omak, WA. Russell Franklin Matthynssens practices in Omak, WA and has the professional credentials of CPC. The NPI Number for Russell Franklin Matthynssens is 1871065292 and holds a License No. CG60817371 (Washington).

The current practice location address for Russell Franklin Matthynssens is 1007 Koala Dr, Omak, WA and can be reached out via phone at 509-826-6191 and via fax at 509-826-3029. You can also correspond with Russell Franklin Matthynssens through the mailing address at 1007 KOALA DR, OMAK, WA - 98841-9247 (mailing address contact number: 509-826-6191).

Location: 1007 Koala Dr, Omak, WA, 98841-9247
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871065292
Provider Name
Russell Franklin Matthynssens
Credential
CPC
Provider Entity Type
Individual
Gender
Male
Address
1007 Koala Dr, Omak, WA, 98841-9247
Phone Number
509-826-6191
Fax Number
509-826-3029
Provider Enumeration Date
12/24/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1007 Koala Dr
City
Omak
State
Washington
Zip
98841-9247
Phone Number
509-826-6191
Fax Number
509-826-3029
person
Provider Business Mailing Address Details
Address
1007 Koala Dr
City
Omak
State
Washington
Zip
98841-9247
Phone Number
509-826-6191
Fax Number
509-826-3029
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
CG60817371 (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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