Individual provider · Type 1 NPI

Kyle David Leroy Boogaard

Peer Specialist · Hoquiam, WA

NPI number 1689285348 Active

Practice location

3033 Ingram St
Hoquiam, WA 98550-4410

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.

2 other providers at this address

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About NPI 1689285348

Kyle David Leroy Boogaard's National Provider Identifier is 1689285348, issued on Aug 14, 2020. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Hoquiam, WA. The record was last updated on Aug 14, 2020.