Individual provider · Type 1 NPI

Tisha Lee Koen

Peer Specialist · Eureka, CA

NPI number 1235778465 Active

Practice location

2933 H St
Eureka, CA 95501-4407

Call (707) 441-3783 Map

Mailing address

336 W Sonoma St
Eureka, CA 95501-2818

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.

2 other providers at this address

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About NPI 1235778465

Tisha Lee Koen's National Provider Identifier is 1235778465, issued on Jan 6, 2020. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Eureka, CA. The record was last updated on Jan 6, 2020.