Mary S Correa, CG61331058
Peer Specialist in Yakima, WA. Individual provider (NPI-1).
NPI number1649955352
StatusActive
Last updated in NPPESJun 20, 2023
Details
- NPI
- 1649955352
- Entity type
- Individual (NPI-1)
- Name
- Mary S Correa
- Credential
- CG61331058
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 20, 2023
- Certification date
- Jun 20, 2023
- Last updated
- Jun 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
Practice location
120 S 3rd StYakima, WA 98901-2875
Phone 509-853-4141
Mailing address
120 S 3rd StYakima, WA 98901-2875
Phone 509-853-4141
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All 93 Peer Specialist providers in Yakima · All 4,822 providers in Yakima
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