Individual provider · Type 1 NPI

Michael Dean Gibson

Peer Specialist · Walla Walla, WA

NPI number 1366328734 Active

Practice location

1520 Kelly Pl Ste 234
Walla Walla, WA 99362-8607

Mailing address

PO Box 959
Yakima, WA 98907-0959

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 1366328734

Michael Dean Gibson's National Provider Identifier is 1366328734, issued on Aug 12, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Walla Walla, WA. The record was last updated on Aug 12, 2025.