JOSHUA J TATUM AAC
NPI 1861147696
Peer Specialist in Chehalis, WA
- Individual
- Male
- Peer Specialist
About JOSHUA TATUM
This page provides the complete NPI Profile along with additional information for Joshua Tatum, a provider established in Chehalis, Washington with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1861147696 assigned on February 2022. The practitioner's primary taxonomy code is 175T00000X with license number CG61277356 (WA). The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1861147696 Verify this NPI
- Provider Name
- JOSHUA J TATUM AAC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 151 N MARKET BLVD STE C CHEHALIS, WA 98532
- Location Phone
- (360) 266-5585
- Mailing Address
- PO BOX 2394 LONGVIEW, WA 98632
- Mailing Phone
- (360) 200-5419
- Mailing Fax
- (360) 200-6736
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-21-2022
- Last Update Date
- 12-02-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Peer Specialist
- Taxonomy Code
- 175T00000X
- Type
- Other Service Providers
- License No.
- CG61277356
- License State
- WA
- Taxonomy Description
- 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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Other Providers at the Same Location
The following 17 providers are registered at the same or a nearby location.
CHEHALIS, WA 98532
CHEHALIS, WA 98532
CHEHALIS, WA 98532
CHEHALIS, WA 98532
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1861147696, enumerated as an "individual" on February 21, 2022.
The provider is located at 151 N MARKET BLVD STE C CHEHALIS, WA 98532 and the phone number is (360) 266-5585.
Peer Specialist with taxonomy code 175T00000X.