Individual provider · Type 1 NPI

Banji Hazelle Bottcher, CPC

Peer Specialist · Puyallup, WA

NPI number 1124506399 Active

Practice location

325 E Pioneer
Puyallup, WA 98372

Call (253) 697-8400 Map

Fax (253) 697-3730

Other practice locations

  • 1338 Commerce Ave, Longview, WA 98632-3732 · (360) 623-9272
  • 1338 Commerce Ave, Longview, WA 98632-3732 · (360) 623-9272

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XCG60474886 (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 1124506399

Banji Hazelle Bottcher, CPC's National Provider Identifier is 1124506399, issued on Jul 31, 2018. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Puyallup, WA. The record was last updated on May 15, 2019.