Individual provider · Type 1 NPI

Kassie Jo Roudebush

Peer Specialist · Kennewick, WA

NPI number 1699475848 Active

Practice location

216 W 10th Ave
Kennewick, WA 99336-6300

Mailing address

402 S 4th Ave
Yakima, WA 98902-3546

Other practice locations

  • 402 S 4th Ave, Yakima, WA 98902-3546 · (509) 575-4084

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 1699475848

Kassie Jo Roudebush's National Provider Identifier is 1699475848, issued on Mar 7, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Kennewick, WA. The record was last updated on May 18, 2026.