Individual provider · Type 1 NPI

Ty Lynn Gray

Peer Specialist · Spokane Valley, WA

NPI number 1104510155 Active

Practice location

1101 N Argonne Rd
Spokane Valley, WA 99212-2699

Call (509) 838-4651 Map

Mailing address

107 S Division St
Spokane, WA 99202-1510

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XCG61448910 (WA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
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.

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About NPI 1104510155

Ty Lynn Gray's National Provider Identifier is 1104510155, issued on Jun 5, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Spokane Valley, WA. The record was last updated on Oct 3, 2023.