Individual provider · Type 1 NPI
Brooke Nycole Atilano
Peer Specialist · Lake Isabella, CA
NPI number
1649965799
Active
Practice location
2731 Nugget Ave
Lake Isabella, CA 93240-9456
Fax (760) 379-5332
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Worker | 172V00000X | D5170094 (CA) |
| Peer Specialist | 175T00000X | None listed |
| Peer Specialist Primary | 175T00000X | MPSS-DXFPLC (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 1649965799
Brooke Nycole Atilano's National Provider Identifier is 1649965799, issued on Apr 5, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Lake Isabella, CA. The record was last updated on Feb 8, 2024.