Individual provider · Type 1 NPI

Jack Hueyi Citlalin

Peer Specialist · Long Beach, WA

NPI number 1487196697 Active

Practice location

2204 Pacific Ave N
Long Beach, WA 98631-3300

Call (360) 642-3787 Map

Other practice locations

  • 70362 Kunze Ln, Boardman, OR 97818-8013 · (541) 481-3233

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 1487196697

Jack Hueyi Citlalin's National Provider Identifier is 1487196697, issued on Nov 7, 2016. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Long Beach, WA. The record was last updated on Apr 3, 2025.