Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tise Afuola, AA, SUDPT

Individual provider Peer Specialist · NPI 1992391742

Tise Afuola, AA, SUDPT is a Peer Specialist in Longview, Washington. Licensed in Washington. Registered with an NPI since 2020.

Licensed in
WA
In the registry since
2020
Specialties on file
2

Practice location Address checks out

748 14th Ave
Longview, WA 98632-2315
Phone: (360) 200-5419
Fax: (360) 200-6736
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence PR70152743 (WA)
Peer Specialist Taxonomy 175T00000X · Licence CG61158364 (WA)

Record details

NPI number1992391742
Entity typeIndividual (Type 1)
GenderMale
Credentials AA , SUDPT
Sole proprietorNo
NPI enumeratedDecember 16, 2020
Last updated in NPPESMarch 31, 2026
Certification dateMarch 31, 2026

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