Individual provider · Type 1 NPI

Dasha Witch-Hazel Mactavish

Peer Specialist · San Diego, CA

NPI number 1679225759 Active

Practice location

1660 Hotel Cir N Ste 314
San Diego, CA 92108-2803

Call (619) 961-2120 Map

Specialties and licenses

TaxonomyCodeLicense
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 1679225759

Dasha Witch-Hazel Mactavish's National Provider Identifier is 1679225759, issued on Jan 20, 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 Jan 20, 2022.