Individual provider · Type 1 NPI

Sherrell Clark

Peer Specialist · Riverside, CA

NPI number 1003366535 Active

Practice location

2085 Rustin Ave Ste 1
Riverside, CA 92507-2498

Call (951) 955-7320 Map

Mailing address

883 Oleander St
Hemet, CA 92543-5876

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor	101YM0800X	None listed
Community Health Worker	172V00000X	None listed
Peer Specialist	175T00000X	None listed
Peer Specialist Primary	175T00000X	None listed

Peer Specialist: 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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About NPI 1003366535

Sherrell Clark's National Provider Identifier is 1003366535, issued on Oct 7, 2016. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Riverside, CA. The record was last updated on Dec 31, 2024.