Individual provider · Type 1 NPI

Nathanael Gideon Green

Peer Specialist · Lake Forest, CA

NPI number 1225923931 Active

Practice location

23072 Lake Center Dr Ste 115
Lake Forest, CA 92630-2880

Call (949) 406-9694 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XMPSS-UCZFAE

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.

5 other providers at this address

Other peer specialist providers in Lake Forest

See all in Lake Forest →

About NPI 1225923931

Nathanael Gideon Green's National Provider Identifier is 1225923931, issued on Jun 11, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Lake Forest, CA. The record was last updated on Jun 11, 2025.