Individual provider · Type 1 NPI

Alex Lee Baccus

Peer Specialist · Centralia, WA

NPI number 1356062129 Active

Practice location

1707 Cooks Hill Rd
Centralia, WA 98531-9071

Call (360) 523-8396 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone 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 1356062129

Alex Lee Baccus's National Provider Identifier is 1356062129, issued on Sep 8, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Centralia, WA. The record was last updated on Sep 8, 2022.