Individual provider · Type 1 NPI

Ernest McFadden

Peer Specialist · Los Angeles, CA

NPI number 1104604776 Active

Practice location

11303 Wilshire Blvd Bldg 116
Los Angeles, CA 90025-5069

Call (316) 990-7046 Map

Mailing address

11401 Vandergrift Ave
Los Angeles, CA 90025-7127

Specialties and licenses

TaxonomyCodeLicense
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 1104604776

Ernest McFadden's National Provider Identifier is 1104604776, issued on Sep 15, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Los Angeles, CA. The record was last updated on Sep 15, 2023.