Individual provider · Type 1 NPI

Doris Short, RADT 1

Peer Specialist · Modesto, CA

NPI number 1700410420 Active

Practice location

1620 Cummins Dr
Modesto, CA 95358-6400

Call (209) 576-1750 Map

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Peer Specialist Primary 175T00000XMPSS-LMKCTP (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 1700410420

Doris Short, RADT 1's National Provider Identifier is 1700410420, issued on Mar 3, 2020. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Modesto, CA. The record was last updated on Dec 11, 2023.