Individual provider · Type 1 NPI

Peter Maxim Ustyugov

Peer Specialist · Lynnwood, WA

NPI number 1245117332 Active

Practice location

19730 64th Ave W
Lynnwood, WA 98036-5957

Call (206) 519-9717 Map

Mailing address

517 Lake Washington Blvd S
Seattle, WA 98144-2546

Specialties and licenses

TaxonomyCodeLicense
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 1245117332

Peter Maxim Ustyugov's National Provider Identifier is 1245117332, issued on Aug 19, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Lynnwood, WA. The record was last updated on Aug 19, 2025.