Individual provider · Type 1 NPI

Fonda Crandall

Peer Specialist · San Bernardino, CA

NPI number 1487116646 Active

Practice location

1481 Windsor Dr
San Bernardino, CA 92404-5416

Mailing address

231 Hastings St
Redlands, CA 92373-5077

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 1487116646

Fonda Crandall's National Provider Identifier is 1487116646, issued on Apr 4, 2019. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in San Bernardino, CA. The record was last updated on Apr 4, 2019.