Individual provider · Type 1 NPI
Karla Vanessa Moreno, PEER SUPPORT SPEC.
Peer Specialist · Fresno, CA
NPI number
1780463984
Active
Practice location
142 E. Cesar Chavez Blvd.
Fresno, CA 93706-3642
Fax (559) 600-1101
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist | 175T00000X | TPHNYCVZUSEAWQIK (CA) |
| Peer Specialist Primary | 175T00000X | TPHNYCZUSEAWQIK (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 1780463984
Karla Vanessa Moreno, PEER SUPPORT SPEC.'s National Provider Identifier is 1780463984, issued on Sep 26, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Fresno, CA. The record was last updated on Jul 3, 2024.