Individual provider · Type 1 NPI
Reagan Clark, AA
Peer Specialist · Pomona, CA
NPI number
1275417933
Active
Practice location
300 S Park Ave Ste 750
Pomona, CA 91766-1553
Mailing address
27224 Woodglen Ln
Moreno Valley, CA 92555-4534
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health & Wellness Coach | 171400000X | None listed |
| Peer Specialist Primary | 175T00000X | None 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.
3 other providers at this address
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About NPI 1275417933
Reagan Clark, AA's National Provider Identifier is 1275417933, issued on Aug 4, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Pomona, CA. The record was last updated on Aug 4, 2025.