Individual provider · Type 1 NPI

Shelby Elizabeth Wiedmann

Peer Specialist · Puyallup, WA

NPI number 1942866835 Active

Practice location

325 E Pioneer
Puyallup, WA 98372-3265

Call (253) 697-8400 Map

Fax (253) 697-3730

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XCG60964652 (WA)
Peer Specialist Primary 175T00000XCG60964652 (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 1942866835

Shelby Elizabeth Wiedmann's National Provider Identifier is 1942866835, issued on May 15, 2019. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Puyallup, WA. The record was last updated on May 21, 2019.