Individual provider · Type 1 NPI
Kylie Amber Wyldbore
Peer Specialist · Santa Cruz, CA
NPI number
1194509745
Active
Practice location
1201 Shaffer Rd., Bldg 1 Suite 1A
Santa Cruz, CA 95060
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | MPSS-PGWUZT (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.
Another provider at this address
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About NPI 1194509745
Kylie Amber Wyldbore's National Provider Identifier is 1194509745, issued on Aug 23, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Santa Cruz, CA. The record was last updated on Aug 23, 2023.