Individual provider · Type 1 NPI

Mark Ryan Andriese

Peer Specialist · Stockton, CA

NPI number 1730869462 Active

Practice location

1803 W March Ln
Stockton, CA 95207-6458

Call (209) 302-2275 Map

Other practice locations

  • 1803 W March Ln, Stockton, CA 95207-6458 · (209) 302-2275

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone 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.

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About NPI 1730869462

Mark Ryan Andriese's National Provider Identifier is 1730869462, issued on Jul 18, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Stockton, CA. The record was last updated on Apr 29, 2025.