Individual provider · Type 1 NPI

Troy Graham

Peer Specialist · San Pedro, CA

NPI number 1104723048 Active

Practice location

505 S Pacific Ave
San Pedro, CA 90731-2656

Mailing address

551 W 8th Street
San Pedro, CA 90731

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XMPSS-GWBMXU (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 1104723048

Troy Graham's National Provider Identifier is 1104723048, issued on Oct 23, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in San Pedro, CA. The record was last updated on Oct 23, 2026.