CORNELIO THOMAS DELAROSA JR. - NPI 1679405815 - Peer Specialist in Tumwater, WA

Q: What is the provider's specialty?

The provider's specialty is Peer Specialist with taxonomy code 175T00000X.

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About Cornelio Thomas Delarosa Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORNELIO THOMAS DELAROSA JR. (NPI 1679405815) is an individual peer specialist in Tumwater, Washington and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1679405815

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameCORNELIO THOMAS DELAROSA JR.

Location Address9474 LATHROP INDUSTRIAL DR SWTumwater, WA 98512-1109

Mailing Address1887 Whitney Mesa Dr # 5589Henderson, NV 89014-2069 · (360) 583-3340

Phone(360) 583-3340

Sole ProprietorNo

Enumeration DateJune 2, 2026

NPPES CertifiedJune 2, 2026

✔ NPI 1679405815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

Definition

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.

9474 LATHROP INDUSTRIAL DR SW, Tumwater, WA 98512

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