Individual provider · Type 1 NPI

Alexandra Tara Gardner

Peer Specialist · Grass Valley, CA

NPI number 1003694050 Active

Practice location

16573 Old Auburn Rd
Grass Valley, CA 95949

Call (530) 273-0631 Map

Fax (916) 504-4328

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone 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 1003694050

Alexandra Tara Gardner's National Provider Identifier is 1003694050, issued on Sep 20, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Grass Valley, CA. The record was last updated on Sep 20, 2023.