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Mitchel James Mortenson, AAC
Peer Specialist in Long Beach, Washington
NPI 1962170910

Mitchel James Mortenson is a Peer Specialist based in Long Beach, WA. Mitchel James Mortenson practices in Long Beach, WA and has the professional credentials of AAC. The NPI Number for Mitchel James Mortenson is 1962170910 and holds a License No. (Washington).

The current practice location address for Mitchel James Mortenson is 2204 Pacific Ave N, Long Beach, WA and can be reached out via phone at 360-642-3787.

Location: 2204 Pacific Ave N, Long Beach, WA, 98631-3300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962170910
Provider Name
Mitchel James Mortenson
Credential
AAC
Provider Entity Type
Individual
Gender
Male
Address
2204 Pacific Ave N, Long Beach, WA, 98631-3300
Phone Number
360-642-3787
Fax Number
Provider Enumeration Date
09/03/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1760008783 05 WA
institution
Provider Business Practice Location Address Details
Address
2204 Pacific Ave N
City
Long Beach
State
Washington
Zip
98631-3300
Phone Number
360-642-3787
Fax Number
person
Provider Business Mailing Address Details
Address
2204 Pacific Ave N
City
Long Beach
State
Washington
Zip
98631-3300
Phone Number
360-642-3787
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(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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