Individual provider · Type 1 NPI

Latisha Rose Mucker, PEER RECOVERY COACH

Day Training/Habilitation Specialist · Stockton, CA

NPI number 1245733203 Active

Practice location

620 N Aurora St
Stockton, CA 95202-2343

Call (209) 468-8786 Map

Fax (209) 468-9611

Specialties and licenses

TaxonomyCodeLicense
Day Training/Habilitation Specialist Primary 373H00000XNone listed
Peer Specialist 175T00000XNone listed

Day Training/Habilitation Specialist: Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.

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About NPI 1245733203

Latisha Rose Mucker, PEER RECOVERY COACH's National Provider Identifier is 1245733203, issued on Mar 15, 2018. The primary taxonomy on file is Day Training/Habilitation Specialist (373H00000X), and the practice location is in Stockton, CA. The record was last updated on Jun 19, 2026.