Individual provider · Type 1 NPI

Olivia Lee

Peer Specialist · South Pasadena, CA

NPI number 1043082415 Active

Practice location

625 Fair Oaks Ave
South Pasadena, CA 91030-2630

Call (626) 807-5247 Map

Mailing address

1920 Wardell Ave
Duarte, CA 91010-3257

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000XNone listed
Day Training/Habilitation Specialist 373H00000XNone listed
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 1043082415

Olivia Lee's National Provider Identifier is 1043082415, issued on Oct 27, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in South Pasadena, CA. The record was last updated on Aug 12, 2025.