Individual provider · Type 1 NPI

Danielle Tucker

Peer Specialist · Santa Rosa, CA

NPI number 1114833837 Active

Practice location

2245 Challenger Way # 104
Santa Rosa, CA 95407-5418

Mailing address

16390 Main St
Guerneville, CA 95446-9677

Other practice locations

  • 18100 CA-116, Guerneville, CA 95446 · (707) 806-3873

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed
Rehabilitation Practitioner 225400000XNone 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.

2 other providers at this address

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About NPI 1114833837

Danielle Tucker's National Provider Identifier is 1114833837, issued on Aug 21, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Santa Rosa, CA. The record was last updated on Oct 7, 2026.