Individual provider · Type 1 NPI

Kirt Lane, CPC

Peer Specialist · Longview, WA

NPI number 1013541341 Active

Practice location

1408 12th Avenue
Longview, WA 98632-3822

Call (360) 998-3050 Map

Fax (360) 200-6736

Mailing address

PO Box 2394
Longview, WA 98632

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: 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.

2 other providers at this address

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About NPI 1013541341

Kirt Lane, CPC's National Provider Identifier is 1013541341, issued on Feb 25, 2020. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Longview, WA. The record was last updated on Sep 18, 2023.