Individual provider · Type 1 NPI

Jack Wang

Peer Specialist · Casa Grande, AZ

NPI number 1467817825 Active

Practice location

1821 N Trekell Rd, Ste 7
Casa Grande, AZ 85122-1705

Fax (520) 876-9334

Mailing address

1821 N Trekell Rd Ste 7
Casa Grande, AZ 85122-1705

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone 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.

12 other providers at this address

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About NPI 1467817825

Jack Wang's National Provider Identifier is 1467817825, issued on Dec 29, 2015. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Casa Grande, AZ. The record was last updated on Dec 29, 2015.