Individual provider · Type 1 NPI
Sergio Lopez, R-AAC, CPSST
Peer Specialist · Longview, WA
NPI number
1386514644
Active
Practice location
1340 12th Ave
Longview, WA 98632-3820
Fax (844) 612-6673
Mailing address
PO Box 2394
Longview, WA 98632-8455
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist | 175T00000X | CG70062661 (WA) |
| Peer Specialist Primary | 175T00000X | PE70066491 (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.
2 other providers at this address
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About NPI 1386514644
Sergio Lopez, R-AAC, CPSST's National Provider Identifier is 1386514644, issued on Nov 10, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Longview, WA. The record was last updated on Nov 10, 2025.