Individual provider · Type 1 NPI

Joseph Ellis Lange Iii

Peer Specialist · Seattle, WA

NPI number 1700554425 Active

Practice location

216 James St
Seattle, WA 98104-5102

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 1700554425

Joseph Ellis Lange Iii's National Provider Identifier is 1700554425, issued on Aug 30, 2021. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Seattle, WA. The record was last updated on Dec 8, 2021.