Individual provider · Type 1 NPI

Shannon Ilene Phillips, PEER SUPPORT SPEC.

Peer Specialist · Norwalk, CA

NPI number 1326937822 Active

Practice location

12501 Imperial Hwy Ste 500B
Norwalk, CA 90650-3179

Call (562) 864-7821 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XMPSS-AIZKLM (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 1326937822

Shannon Ilene Phillips, PEER SUPPORT SPEC.'s National Provider Identifier is 1326937822, issued on Jun 30, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Norwalk, CA. The record was last updated on Sep 15, 2025.