Individual provider · Type 1 NPI

Jessica Renee Tanner

Peer Specialist · Vancouver, WA

NPI number 1043065543 Active

Practice location

1601 E Fourth Plain Blvd Bldg 17
Vancouver, WA 98661-3717

Mailing address

119 Sunset Pl
Longview, WA 98632-5352

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XCG61551806 (WA)

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.

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About NPI 1043065543

Jessica Renee Tanner's National Provider Identifier is 1043065543, issued on Apr 19, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Vancouver, WA. The record was last updated on Apr 19, 2024.