Individual provider · Type 1 NPI

Kim Petra Bailey

Peer Specialist · Corona, CA

NPI number 1609470202 Active

Practice location

2813 S Main St
Corona, CA 92882-5942

Mailing address

4740 N Grand Ave
Covina, CA 91724-2005

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000XNone listed
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 1609470202

Kim Petra Bailey's National Provider Identifier is 1609470202, issued on Nov 24, 2020. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Corona, CA. The record was last updated on Jul 15, 2024.