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Shelby Elizabeth Wiedmann
Peer Specialist in Puyallup, Washington
NPI 1942866835

Shelby Elizabeth Wiedmann is a Peer Specialist based in Puyallup, WA. Shelby Elizabeth Wiedmann practices in Puyallup, WA. The NPI Number for Shelby Elizabeth Wiedmann is 1942866835 and holds a License No. CG60964652 (Washington).

The current practice location address for Shelby Elizabeth Wiedmann is 325 E Pioneer, Puyallup, WA and can be reached out via phone at 253-697-8400 and via fax at 253-697-3730.

Location: 325 E Pioneer, Puyallup, WA, 98372-3265
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942866835
Provider Name
Shelby Elizabeth Wiedmann
Credential
Provider Entity Type
Individual
Gender
Female
Address
325 E Pioneer, Puyallup, WA, 98372-3265
Phone Number
253-697-8400
Fax Number
253-697-3730
Provider Enumeration Date
05/15/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
325 E Pioneer
City
Puyallup
State
Washington
Zip
98372-3265
Phone Number
253-697-8400
Fax Number
253-697-3730
person
Provider Business Mailing Address Details
Address
325 E Pioneer
City
Puyallup
State
Washington
Zip
98372-3265
Phone Number
253-697-8400
Fax Number
253-697-3730
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
CG60964652 (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.
CG60964652 (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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