Individual provider · Type 1 NPI

Tiffany Marie Willingham, SUDRC

Peer Specialist · Costa Mesa, CA

NPI number 1699507814 Active

Practice location

671 Governor St
Costa Mesa, CA 92627-2504

Call (949) 343-6565 Map

Mailing address

14400 Newport Ave Apt 91
Tustin, CA 92780-5624

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Peer Specialist Primary 175T00000X18573 (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 1699507814

Tiffany Marie Willingham, SUDRC's National Provider Identifier is 1699507814, issued on Aug 16, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Costa Mesa, CA. The record was last updated on Dec 16, 2025.