Fitzpatrick, John Lanell

Fitzpatrick, John Lanell is an individual health care provider with primary practice located at 1408 12Th Ave , Longview WA 98632-3822. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is his primary health care specialty. Fitzpatrick, John Lanell can be contacted via phone (360) 998-3050.

Contact Information

Primary practice address
1408 12Th Ave Longview WA 98632-3822
Phone: (360) 998-3050
Fax: (360) 200-6736
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X Washington
Other Service Providers / Case Manager/Care Coordinator 171M00000X Washington
Other Service Providers / Peer Specialist 175T00000X CG61163067 Washington

Profile Details

NPI number 1861086241
LBN Legal business name Fitzpatrick, John Lanell
Credentials AAC, CPC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2021
Last updated Jan 6th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861086241 NPPES
Washington MEDICAID 2176426

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