Individual provider · Type 1 NPI

Isabel Athena Sandoval

Peer Specialist · Stockton, CA

NPI number 1174416481 Active

Practice location

2105 W March Ln Ste 2
Stockton, CA 95207-6422

Call (209) 808-8858 Map

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 1174416481

Isabel Athena Sandoval's National Provider Identifier is 1174416481, issued on Jun 3, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Stockton, CA. The record was last updated on Jun 3, 2025.