Individual provider · Type 1 NPI

Lyberty A. Forville

Peer Specialist · Port Townsend, WA

NPI number 1346983665 Active

Practice location

884 W Park Ave
Port Townsend, WA 98368-2273

Call (360) 385-0321 Map

Mailing address

PO Box 565
Port Townsend, WA 98368-0565

Other practice locations

  • 686 Lake St Ste 100, Port Townsend, WA 98368-2282 · (360) 385-0321

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Peer Specialist Primary 175T00000XCG61280509 (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 1346983665

Lyberty A. Forville's National Provider Identifier is 1346983665, issued on Apr 14, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Port Townsend, WA. The record was last updated on Jun 13, 2022.