Individual provider · Type 1 NPI
Daric Richard Desautel
Peer Specialist · Mather, CA
NPI number
1558271494
Active
Practice location
10535 Hospital Way
Mather, CA 95655-4200
Mailing address
6213 Glademont Ct
Carmichael, CA 95608-3938
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | MPSS-RNMHCQ (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 1558271494
Daric Richard Desautel's National Provider Identifier is 1558271494, issued on Sep 11, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Mather, CA. The record was last updated on Sep 11, 2026.