Individual provider · Type 1 NPI

Lawrence Dockery, CG61106653

Peer Specialist · Vancouver, WA

NPI number 1669043188 Active

Practice location

1601 E Fourth Plain Blvd
Vancouver, WA 98661-3713

Mailing address

8717 NE 37th Ave
Vancouver, WA 98665-1065

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XCG61106653 (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 1669043188

Lawrence Dockery, CG61106653's National Provider Identifier is 1669043188, issued on Jul 6, 2021. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Vancouver, WA. The record was last updated on Jul 6, 2021.