Individual provider · Type 1 NPI
Diedra Y. Kinne
Peer Specialist · Fredonia, AZ
NPI number
1275917379
Active
Practice location
240 West Jensen St.
Fredonia, AZ 86022-0491
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | 4750887 (AZ) |
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.
About NPI 1275917379
Diedra Y. Kinne's National Provider Identifier is 1275917379, issued on Jul 17, 2015. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Fredonia, AZ. The record was last updated on Jul 17, 2015.