Individual provider · Type 1 NPI

John South

Peer Specialist · Federal Way, WA

NPI number 1205602174 Active

Practice location

1336 S 336th St
Federal Way, WA 98003-6348

Call (253) 833-7444 Map

Mailing address

325 W Gowe St
Kent, WA 98032-5892

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XCPSS.PR.70107513 (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 1205602174

John South's National Provider Identifier is 1205602174, issued on Nov 30, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Federal Way, WA. The record was last updated on Aug 17, 2026.