Individual provider · Type 1 NPI

Theodore Flanagan

Peer Specialist · San Luis Obispo, CA

NPI number 1477440097 Active

Practice location

2975 Mcmillan Ave Ste 164
San Luis Obispo, CA 93401-6768

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.

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About NPI 1477440097

Theodore Flanagan's National Provider Identifier is 1477440097, issued on Jun 18, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in San Luis Obispo, CA. The record was last updated on Jun 18, 2025.