Individual provider · Type 1 NPI

Candy Jane Wilson

Peer Specialist · Sacramento, CA

NPI number 1194209486 Active

Practice location

4441 Auburn Blvd
Sacramento, CA 95841-4139

Call (916) 473-5764 Map

Mailing address

8912 Volunteer Ln
Sacramento, CA 95826-3221

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Community Health Worker 172V00000XNone listed
Peer Specialist Primary 175T00000XMPSS-UJSXAN (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 1194209486

Candy Jane Wilson's National Provider Identifier is 1194209486, issued on Sep 21, 2018. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Sacramento, CA. The record was last updated on Sep 22, 2023.