Individual provider · Type 1 NPI

Letia Bogan

Peer Specialist · Ridgecrest, CA

NPI number 1679244693 Active

Practice location

1400 N Norma St Ste 133
Ridgecrest, CA 93555-2577

Call (760) 499-7406 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 1679244693

Letia Bogan's National Provider Identifier is 1679244693, issued on Sep 21, 2021. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Ridgecrest, CA. The record was last updated on Sep 21, 2021.