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Vincent John Straube
Peer Specialist in Longview, Washington
NPI 1891074076

Vincent John Straube is a Peer Specialist based in Longview, WA. Vincent John Straube practices in Longview, WA. The NPI Number for Vincent John Straube is 1891074076 and holds a License No. 60716189 (Washington).

The current practice location address for Vincent John Straube is 748 14Th Avenue, Longview, WA and can be reached out via phone at 360-200-5419 and via fax at 360-200-6736.

Location: 748 14Th Avenue, Longview, WA, 98632
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891074076
Provider Name
Vincent John Straube
Credential
Provider Entity Type
Individual
Gender
Male
Address
748 14Th Avenue, Longview, WA, 98632
Phone Number
360-200-5419
Fax Number
360-200-6736
Provider Enumeration Date
08/05/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2136686 05 WA
institution
Provider Business Practice Location Address Details
Address
748 14Th Avenue
City
Longview
State
Washington
Zip
98632
Phone Number
360-200-5419
Fax Number
360-200-6736
person
Provider Business Mailing Address Details
Address
748 14Th Avenue
City
Longview
State
Washington
Zip
98632
Phone Number
360-200-5419
Fax Number
360-200-6736
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
CG60716189 (Washington)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
60716189 (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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