Individual provider · Type 1 NPI

Joeray Thavone Moan

Peer Specialist · Stockton, CA

NPI number 1457226474 Active

Practice location

105 S San Joaquin St
Stockton, CA 95202-3206

Call (209) 953-5466 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XMPSS-VTKGXI (CA)
Community Health Worker 172V00000XNone 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 1457226474

Joeray Thavone Moan's National Provider Identifier is 1457226474, issued on Oct 8, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Stockton, CA. The record was last updated on Jul 6, 2026.