Individual provider · Type 1 NPI

Randy Roush

Peer Specialist · Sacramento, CA

NPI number 1205425634 Active

Practice location

720 Howe Ave
Sacramento, CA 95825-4669

Call (916) 376-7736 Map

Mailing address

3815 Marconi Ave
Sacramento, CA 95821-3867

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000XNone listed
Peer Specialist Primary 175T00000XMPSS-ICZJTE (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 1205425634

Randy Roush's National Provider Identifier is 1205425634, issued on Jan 11, 2021. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Sacramento, CA. The record was last updated on Mar 5, 2024.