Individual provider · Type 1 NPI

Maris Clea Juwono

Peer Specialist · Sacramento, CA

NPI number 1104512177 Active

Practice location

2750 Sutterville Rd
Sacramento, CA 95820-1093

Call (916) 452-3981 Map

Other practice locations

  • 1947 Galileo Ct Ste 101, Davis, CA 95618-4882 · (530) 220-1450

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Community Health Worker 172V00000XNone listed
Adult Companion 372600000XNone 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 1104512177

Maris Clea Juwono's National Provider Identifier is 1104512177, issued on Apr 13, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Sacramento, CA. The record was last updated on Jul 1, 2025.