Individual provider · Type 1 NPI

Samantha Marie Poley

Peer Specialist · San Jacinto, CA

NPI number 1295422921 Active

Practice location

790 S State St Ste 6
San Jacinto, CA 92583-4924

Call (951) 654-6002 Map

Fax (951) 612-8195

Mailing address

38090 Cypress Point Dr
Murrieta, CA 92563-5823

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Community Health Worker 172V00000XNone listed
Peer Specialist Primary 175T00000XMPSS-LZXODB (CA)

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.

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About NPI 1295422921

Samantha Marie Poley's National Provider Identifier is 1295422921, issued on Apr 21, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in San Jacinto, CA. The record was last updated on Dec 28, 2023.