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
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | None 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.