Individual provider · Type 1 NPI

Kyle Wiesenthal

Peer Specialist · Sacramento, CA

NPI number 1710601240 Active

Practice location

401 S St
Sacramento, CA 95811-6919

Call (916) 584-7800 Map

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000XNone listed
Peer Specialist Primary 175T00000XMPSS-INTFER (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 1710601240

Kyle Wiesenthal's National Provider Identifier is 1710601240, issued on Sep 28, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Sacramento, CA. The record was last updated on Aug 8, 2023.