Lyberty A Forville
Peer Specialist in Port Townsend, WA. Individual provider (NPI-1).
NPI number1346983665
StatusActive
Last updated in NPPESJun 13, 2022
Details
- NPI
- 1346983665
- Entity type
- Individual (NPI-1)
- Name
- Lyberty A Forville
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 14, 2022
- Certification date
- Jun 13, 2022
- Last updated
- Jun 13, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | CG61280509 | WA | Yes |
| 101Y00000X | Counselor | – | – |
Practice location
884 W Park AvePort Townsend, WA 98368-2273
Phone 360-385-0321
Mailing address
Po Box 565Port Townsend, WA 98368-0565
Phone 360-385-0321
Other practice locations
686 Lake St Ste 100
Port Townsend, WA 98368-2282
Port Townsend, WA 98368-2282
Phone 360-385-0321
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All 11 Peer Specialist providers in Port Townsend · All 745 providers in Port Townsend
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