Individual provider · Type 1 NPI

Eugene Avilla

Peer Specialist · Stockton, CA

NPI number 1073396560 Active

Practice location

1414 N California St
Stockton, CA 95202-1515

Call (209) 468-2385 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Community Health Worker 172V00000XNone listed
Peer Specialist 175T00000XNone listed
Peer Specialist Primary 175T00000XMPSS-VPRIOQ (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 1073396560

Eugene Avilla's National Provider Identifier is 1073396560, issued on Aug 17, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Stockton, CA. The record was last updated on May 30, 2025.