Individual provider · Type 1 NPI

Tise Afuola, AA, SUDPT

Peer Specialist · Longview, WA

NPI number 1992391742 Active

Practice location

748 14th Ave
Longview, WA 98632-2315

Call (360) 200-5419 Map

Fax (360) 200-6736

Mailing address

PO Box 2394
Longview, WA 98632-8455

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XPR70152743 (WA)
Peer Specialist 175T00000XCG61158364 (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 1992391742

Tise Afuola, AA, SUDPT's National Provider Identifier is 1992391742, issued on Dec 16, 2020. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Longview, WA. The record was last updated on Mar 31, 2026.