Individual provider · Type 1 NPI

Katie Lynn Vazquez, CPSS

Peer Specialist · Riverside, CA

NPI number 1417676255 Active

Practice location

2085 Rustin Ave
Riverside, CA 92507-2498

Mailing address

1260 W Blaine St Apt 13
Riverside, CA 92507-3699

Other practice locations

  • 8605 Janet Ave, Riverside, CA 92503-9212 · (951) 426-6774

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XBKITYVZOJMUFESPN (CA)
Behavior Technician 106S00000XNone 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 1417676255

Katie Lynn Vazquez, CPSS's National Provider Identifier is 1417676255, issued on Aug 24, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Riverside, CA. The record was last updated on Jul 5, 2023.