Individual provider · Type 1 NPI

Onnalynn Tasha Lieuallen

Peer Specialist · Palm Springs, CA

NPI number 1114453370 Active

Practice location

2500 N Palm Canyon Dr, Suite A4
Palm Springs, CA 92262-1868

Call (442) 268-7000 Map

Mailing address

1775 E. Palm Canyon Drive., Suite 110, #373
Palm Springs, CA 92262

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 1114453370

Onnalynn Tasha Lieuallen's National Provider Identifier is 1114453370, issued on May 10, 2017. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Palm Springs, CA. The record was last updated on May 10, 2017.