Darrel W Jernigan, CG61020545
Darrel W Jernigan, CG61020545 is a Peer Specialist in Seattle, Washington. Licensed in Washington. Registered with an NPI since 2020.
- Licensed in
- WA
- In the registry since
- 2020
Practice location Address checks out
1216 Pine St Ste 300Seattle, WA 98101-1959
Phone: (206) 323-1768
Fax: (206) 323-2184
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X · Licence CG61020545 (WA) |
|---|
Record details
| NPI number | 1184259764 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CG61020545 |
| Sole proprietor | No |
| NPI enumerated | March 4, 2020 |
| Last updated in NPPES | March 4, 2020 |
| Certification date | March 4, 2020 |
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