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

TaxonomyCodeLicense
Peer Specialist 175T00000XCG70062661 (WA)
Peer Specialist Primary 175T00000XPE70066491 (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.