Individual provider · Type 1 NPI

Tsae'yeh La'shae Jimmerson

Peer Specialist · Rancho Cucamonga, CA

NPI number 1770171241 Active

Practice location

9500 Haven Ave
Rancho Cucamonga, CA 91730-5807

Call (909) 980-6700 Map

Mailing address

25910 Acero Ste 160
Mission Viejo, CA 92691-2777

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XMPSS-PLFAYG (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 1770171241

Tsae'yeh La'shae Jimmerson's National Provider Identifier is 1770171241, issued on Jan 9, 2021. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Rancho Cucamonga, CA. The record was last updated on Apr 22, 2025.