Individual provider · Type 1 NPI

Destiny Tiese Tittle

Peer Specialist · Rancho Cucamonga, CA

NPI number 1154970309 Active

Practice location

9570 Center Ave Ste 110
Rancho Cucamonga, CA 91730-5842

Call (909) 980-2789 Map

Mailing address

8734 Bellladona Rd
Riverside, CA 92508

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 1154970309

Destiny Tiese Tittle's National Provider Identifier is 1154970309, issued on Sep 10, 2019. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Rancho Cucamonga, CA. The record was last updated on Sep 10, 2019.