Individual provider · Type 1 NPI

Jade Grace Miltenberger

Peer Specialist · San Carlos, CA

NPI number 1558245217 Active

Practice location

1692 El Camino Real
San Carlos, CA 94070-5208

Call (650) 817-9070 Map

Fax (650) 817-9074

Mailing address

PO Box 1329
San Carlos, CA 94070-7329

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XMPSS-URIYEO (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.

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About NPI 1558245217

Jade Grace Miltenberger's National Provider Identifier is 1558245217, issued on Aug 4, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in San Carlos, CA. The record was last updated on Oct 15, 2025.