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Mr. Dallas L Blenz
Peer Specialist in Snoqualmie, Washington
NPI 1881167724

Dallas L Blenz is a Peer Specialist based in Snoqualmie, WA. Dallas L Blenz practices in Snoqualmie, WA. The NPI Number for Dallas L Blenz is 1881167724 and holds a License No. CG60855379 (Washington).

The current practice location address for Dallas L Blenz is 7972 Maple Ave Se, Snoqualmie, WA and can be reached out via phone at 425-888-4151.

Location: 7972 Maple Ave Se, Snoqualmie, WA, 98065
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881167724
Provider Name
Dallas L Blenz
Credential
Provider Entity Type
Individual
Gender
Male
Address
7972 Maple Ave Se, Snoqualmie, WA, 98065
Phone Number
425-888-4151
Fax Number
Provider Enumeration Date
01/03/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7972 Maple Ave Se
City
Snoqualmie
State
Washington
Zip
98065
Phone Number
425-888-4151
Fax Number
person
Provider Business Mailing Address Details
Address
7972 Maple Ave Se
City
Snoqualmie
State
Washington
Zip
98065
Phone Number
425-888-4151
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
CG60855379 (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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