Individual provider · Type 1 NPI

Tara Nicole Pitterson

Peer Specialist · Orange, CA

NPI number 1386110690 Active

Practice location

401 S Tustin Street, Building C
Orange, CA 92866-2550

Fax (714) 361-4861

Mailing address

401 S Tustin St Bldg C
Orange, CA 92866-2550

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone 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.

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About NPI 1386110690

Tara Nicole Pitterson's National Provider Identifier is 1386110690, issued on Oct 15, 2018. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Orange, CA. The record was last updated on Oct 15, 2018.