Individual provider · Type 1 NPI
Gerry Lee Bailey, CG 60801682
Peer Specialist · Longview, WA
NPI number
1497318067
Active
Practice location
1338 Commerce Ave # H
Longview, WA 98632-3732
Mailing address
748 14th Ave
Longview, WA 98632-2315
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 60801682 (WA) |
| Peer Specialist Primary | 175T00000X | None 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 1497318067
Gerry Lee Bailey, CG 60801682's National Provider Identifier is 1497318067, issued on Apr 18, 2019. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Longview, WA. The record was last updated on Jan 20, 2020.