Individual provider · Type 1 NPI

Kelly Phillips, CPC

Peer Specialist · Ridgefield, WA

NPI number 1639894322 Active

Practice location

21810 NE 37th Ave
Ridgefield, WA 98642-7747

Mailing address

PO Box 1299
Battle Ground, WA 98604-1299

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XCG61349318 (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.

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About NPI 1639894322

Kelly Phillips, CPC's National Provider Identifier is 1639894322, issued on Oct 5, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Ridgefield, WA. The record was last updated on Oct 5, 2022.