Individual provider · Type 1 NPI

Lakeisha Marie Penn

Peer Specialist · Sacramento, CA

NPI number 1740165711 Active

Practice location

2750 Sutterville Rd
Sacramento, CA 95820-1024

Fax (323) 590-7693

Specialties and licenses

TaxonomyCodeLicense
Adult Companion 372600000XNone listed
Peer Specialist Primary 175T00000XMPSS-VNDUAR (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 1740165711

Lakeisha Marie Penn's National Provider Identifier is 1740165711, issued on Aug 8, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Sacramento, CA. The record was last updated on Sep 17, 2026.