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Kortney Suanne Gallagher, CPC
Peer Specialist in Longview, Washington
NPI 1881353134

Kortney Suanne Gallagher is a Peer Specialist based in Longview, WA. Kortney Suanne Gallagher practices in Longview, WA and has the professional credentials of CPC. The NPI Number for Kortney Suanne Gallagher is 1881353134 and holds a License No. CG61240610 (Washington).

The current practice location address for Kortney Suanne Gallagher is 1116 14Th Ave, Longview, WA and can be reached out via phone at 360-261-6930.

Location: 1116 14Th Ave, Longview, WA, 98632-3017
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881353134
Provider Name
Kortney Suanne Gallagher
Credential
CPC
Provider Entity Type
Individual
Gender
Female
Address
1116 14Th Ave, Longview, WA, 98632-3017
Phone Number
360-261-6930
Fax Number
Provider Enumeration Date
12/14/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1116 14Th Ave
City
Longview
State
Washington
Zip
98632-3017
Phone Number
360-261-6930
Fax Number
person
Provider Business Mailing Address Details
Address
1116 14Th Ave
City
Longview
State
Washington
Zip
98632-3017
Phone Number
360-261-6930
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
CG61240610 (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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