Individual provider · Type 1 NPI

Jonathan Longtain

Peer Specialist · Pasadena, CA

NPI number 1093698136 Active

Practice location

1230 N Marengo Ave
Pasadena, CA 91103-2217

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XMPSS-PRWOND (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 1093698136

Jonathan Longtain's National Provider Identifier is 1093698136, issued on Jul 28, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Pasadena, CA. The record was last updated on Jul 28, 2025.