Individual provider · Type 1 NPI

Yolita Hendricks, RADT

Peer Specialist · Trabuco Canyon, CA

NPI number 1093536252 Active

Practice location

20331 Flanagan Road
Trabuco Canyon, CA 92679

Fax (818) 582-8836

Mailing address

PO Box 493
Trabuco Canyon, CA 92678-0493

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XR1579520924 (CA)
Peer Specialist Primary 175T00000XMPSS-AYUGPX (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 1093536252

Yolita Hendricks, RADT's National Provider Identifier is 1093536252, issued on Oct 21, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Trabuco Canyon, CA. The record was last updated on Sep 14, 2026.