NPI 1073119715

Misty Dawn Reed, AACCPC

Practitioner Peer Specialist Longview, WA

Practice location

Address: 748 14th Ave, Longview, WA 98632-2315
Phone: (360) 200-5419
Fax: (360) 200-6736
Mailing address: PO Box 2394, Longview, WA 98632-8455

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence 61092488 (WA)

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Registry record

NPI: 1073119715
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Dec 2020
Record last updated: 8 Dec 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.