Individual provider · Type 1 NPI
Kenny Junior Rodriguez Trujillo
Peer Specialist · Greenbrae, CA
NPI number
1003406810
Active
Practice location
250 Bon Air Road, Unit B - 1st Floor (access Team)
Greenbrae, CA 94904
Other practice locations
- 1335 N Dutton Ave, Santa Rosa, CA 95401-4609 · (855) 223-7123
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician | 106S00000X | MPSS-IJQGWM (CA) |
| Rehabilitation Practitioner | 225400000X | MPSS-IJQGWM (CA) |
| Peer Specialist Primary | 175T00000X | MPSS-IJQGWM (CA) |
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 1003406810
Kenny Junior Rodriguez Trujillo's National Provider Identifier is 1003406810, issued on Jan 25, 2021. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Greenbrae, CA. The record was last updated on Apr 8, 2024.