Individual provider · Type 1 NPI

Stephanie Yvonne Wilson

Peer Specialist · Los Angeles, CA

NPI number 1346124948 Active

Practice location

840 N Avenue 66
Los Angeles, CA 90042-1508

Call (626) 517-6265 Map

Specialties and licenses

TaxonomyCodeLicense
Day Training/Habilitation Specialist 373H00000XNone listed
Peer Specialist Primary 175T00000XMPSS-UBJHYD (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 1346124948

Stephanie Yvonne Wilson's National Provider Identifier is 1346124948, issued on Aug 5, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Los Angeles, CA. The record was last updated on Apr 6, 2026.