John Lanell Fitzpatrick, AAC, CPC

Peer Specialist · Longview, WA

Individual Active NPI

NPI number 1861086241

Practice location

1408 12TH Ave
Longview, WA 98632-3822
Phone
(360) 998-3050
Fax
(360) 200-6736

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NPI record

NPI
1861086241
Entity type
Individual (Type 1)
Enumeration date
February 25, 2021
Last updated
January 6, 2022
Certified
January 6, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Peer Specialist Primary 175T00000X CG61163067 WA
Counselor 101Y00000X — WA
Case Manager/Care Coordinator 171M00000X — WA

Mailing address

PO Box 2394
Longview, WA 98632-8455
Phone
(360) 200-5419
Fax
(360) 200-6736

About John Fitzpatrick

John Lanell Fitzpatrick, AAC, CPC is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 1408 12TH Ave, Longview, WA 98632-3822. The NPI number 1861086241 was assigned on February 25, 2021 and the record was last updated on January 6, 2022.

John Fitzpatrick lists a license in the registry: #CG61163067 (WA) for Peer Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of John Lanell Fitzpatrick, AAC, CPC?

The NPI number is 1861086241.

What is the phone number of John Fitzpatrick?

The phone number listed for the practice location is (360) 998-3050.

Where is John Fitzpatrick located?

1408 12TH Ave, Longview, WA 98632-3822.

What is the taxonomy code for John Fitzpatrick?

The primary taxonomy code is 175T00000X – Peer Specialist; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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