Individual provider · Type 1 NPI
Costa Via
Peer Specialist · Lawndale, CA
NPI number
1497523682
Active
Practice location
4580 W 173rd St Apt 115
Lawndale, CA 90260-3440
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | MPSS-HNGJYI (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.
About NPI 1497523682
Costa Via's National Provider Identifier is 1497523682, issued on Dec 18, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Lawndale, CA. The record was last updated on Dec 18, 2023.