Individual provider · Type 1 NPI

Casey T. Doherty

Peer Specialist · Tarzana, CA

NPI number 1417635905 Active

Practice location

18646 Oxnard St Tarzana, Ca 91356
Tarzana, CA 91356

Call (818) 996-1051 Map

Mailing address

6842 Mclennan Ave
Lake Balboa, CA 91406-4529

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XMPSS-XZYKQV (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.

Other peer specialist providers in Tarzana

See all in Tarzana →

About NPI 1417635905

Casey T. Doherty's National Provider Identifier is 1417635905, issued on Jul 6, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Tarzana, CA. The record was last updated on Jul 6, 2023.