Individual provider · Type 1 NPI

Eric Tyrone Douglas

Peer Specialist · Tarzana, CA

NPI number 1386412997 Active

Practice location

18646 Oxnard St
Tarzana, CA 91356-1411

Call (818) 996-1051 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000XNone listed
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 1386412997

Eric Tyrone Douglas's National Provider Identifier is 1386412997, issued on Dec 13, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Tarzana, CA. The record was last updated on Dec 13, 2023.