Individual provider · Type 1 NPI

Jamillah Decianne

Peer Specialist · Port Townsend, WA

NPI number 1891464574 Active

Practice location

884 W Park Ave
Port Townsend, WA 98368-2273

Fax (360) 385-3944

Mailing address

PO Box 565
Port Townsend, WA 98368-0565

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
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 1891464574

Jamillah Decianne's National Provider Identifier is 1891464574, issued on Sep 7, 2021. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Port Townsend, WA. The record was last updated on Jan 6, 2022.