Individual provider · Type 1 NPI

Jackeline Melany Rodriguez-Bonilla, CPSS

Peer Specialist · Durham, NC

NPI number 1407705064 Active

Practice location

309 Crutchfield St
Durham, NC 27704-2754

Call (602) 650-1212 Map

Mailing address

11361 N 99th Ave Ste 402
Peoria, AZ 85345-5459

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X2025-10998-01 (NC)

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 1407705064

Jackeline Melany Rodriguez-Bonilla, CPSS's National Provider Identifier is 1407705064, issued on Jan 27, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Durham, NC. The record was last updated on Jan 27, 2026.