Individual provider · Type 1 NPI
John J. Cruz
Peer Specialist · Republic, WA
NPI number
1104332170
Active
Practice location
65 N Keller
Republic, WA 99166-8804
Fax (509) 775-8906
Mailing address
165 E Hawthorne Ave
Colville, WA 99114-2629
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | CG60806753 (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.
2 other providers at this address
Other peer specialist providers in Republic
About NPI 1104332170
John J. Cruz's National Provider Identifier is 1104332170, issued on Dec 28, 2017. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Republic, WA. The record was last updated on Dec 28, 2017.