Individual provider · Type 1 NPI

Nathan Shaw Wentland

Peer Specialist · San Diego, CA

NPI number 1679224349 Active

Practice location

1733 Euclid Ave
San Diego, CA 92105-5414

Call (619) 263-0433 Map

Fax (619) 263-3992

Mailing address

872 Delgado Pl
Escondido, CA 92025-5666

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone 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 1679224349

Nathan Shaw Wentland's National Provider Identifier is 1679224349, issued on Jan 14, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in San Diego, CA. The record was last updated on Jun 13, 2022.