Individual provider · Type 1 NPI
Shataura Anderson
Peer Specialist · Independence, MO
NPI number
1720977952
Active
Practice location
12300 E US Highway 40 Ste A
Independence, MO 64055-6008
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | None 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.
Another provider at this address
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About NPI 1720977952
Shataura Anderson's National Provider Identifier is 1720977952, issued on Jul 1, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Independence, MO. The record was last updated on Jul 1, 2025.