Individual provider · Type 1 NPI

Teresa Bonilla, SUPPORT SPECIALIST

Peer Specialist · San Pedro, CA

NPI number 1700772498 Active

Practice location

590 W 8th St
San Pedro, CA 90731-3120

Call (310) 831-2358 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XMPSS-WTVSYE (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.

6 other providers at this address

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About NPI 1700772498

Teresa Bonilla, SUPPORT SPECIALIST's National Provider Identifier is 1700772498, issued on Jun 17, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in San Pedro, CA. The record was last updated on Jun 17, 2025.