Individual provider · Type 1 NPI

Kanisha Renee Green

Peer Specialist · Sacramento, CA

NPI number 1609271303 Active

Practice location

3840 Rosin Ct
Sacramento, CA 95834-1639

Other practice locations

  • 3440 Viking Dr Ste 114, Sacramento, CA 95827-2844 · (916) 287-4067

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Community Health Worker 172V00000XNone listed
Peer Specialist Primary 175T00000XMPSS-MWBXCL (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 1609271303

Kanisha Renee Green's National Provider Identifier is 1609271303, issued on Oct 24, 2014. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Sacramento, CA. The record was last updated on Jul 18, 2023.