Individual provider · Type 1 NPI
Eric Proctor
Peer Specialist · Pomona, CA
NPI number
1093428732
Active
Practice location
383 N Main St # A
Pomona, CA 91768-3826
Fax (999) 999-9999
Mailing address
383 N Main St
Pomona, CA 91768-3826
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | MPSS-GBFDLR (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 1093428732
Eric Proctor's National Provider Identifier is 1093428732, issued on Dec 27, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Pomona, CA. The record was last updated on Mar 17, 2026.