Individual provider · Type 1 NPI

Diane Clark

Peer Specialist · Placentia, CA

NPI number 1164832887 Active

Practice location

701 W Kimberly Ave Ste 120
Placentia, CA 92870-6345

Call (877) 527-7227 Map

Mailing address

25910 Acero Ste 160
Mission Viejo, CA 92691-2777

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XMPSS-SPRITX (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 1164832887

Diane Clark's National Provider Identifier is 1164832887, issued on May 2, 2014. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Placentia, CA. The record was last updated on Aug 5, 2026.