Individual provider · Type 1 NPI

Kenneth Lance Vankooten, CPC

Peer Specialist · Auburn, WA

NPI number 1780319798 Active

Practice location

3320 Auburn Way N
Auburn, WA 98002-1805

Fax (253) 999-5740

Mailing address

3704 Morris Ave S
Renton, WA 98055-5737

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 1780319798

Kenneth Lance Vankooten, CPC's National Provider Identifier is 1780319798, issued on Jul 22, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Auburn, WA. The record was last updated on Sep 24, 2024.