Individual provider · Type 1 NPI
Julie Thammavongsa
Peer Specialist · San Diego, CA
NPI number
1780439265
Active
Practice location
PO Box 710145
San Diego, CA 92171-0145
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.
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About NPI 1780439265
Julie Thammavongsa's National Provider Identifier is 1780439265, issued on Apr 18, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in San Diego, CA. The record was last updated on Jun 24, 2026.