Individual provider · Type 1 NPI

Gary Lewall Williams, PEER RECOVERY COACH

Peer Specialist · Fontana, CA

NPI number 1427701366 Active

Practice location

15217 San Bernardino Ave
Fontana, CA 92335-5327

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XR1486101022 (CA)
Peer Specialist Primary 175T00000XMPSS-PCIHYD (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.

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About NPI 1427701366

Gary Lewall Williams, PEER RECOVERY COACH's National Provider Identifier is 1427701366, issued on Feb 1, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Fontana, CA. The record was last updated on Oct 10, 2025.