Individual provider · Type 1 NPI
Justin Ray Roberts
Peer Specialist · Vancouver, WA
NPI number
1730896143
Active
Practice location
5197 NW Lower River Rd Building #1
Vancouver, WA 98660
Mailing address
3703 NE 54th St
Vancouver, WA 98661-2030
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | 175T00000X (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 1730896143
Justin Ray Roberts's National Provider Identifier is 1730896143, issued on Nov 4, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Vancouver, WA. The record was last updated on Nov 4, 2022.