Individual provider · Type 1 NPI

Lacy E. Taylor

Peer Specialist · Pasadena, CA

NPI number 1821879818 Active

Practice location

1230 N Marengo Ave
Pasadena, CA 91103-2217

Call (626) 797-1124 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XR1541490124 (CA)
Peer Specialist Primary 175T00000XMPSS-MFDNCX (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 1821879818

Lacy E. Taylor's National Provider Identifier is 1821879818, issued on Oct 6, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Pasadena, CA. The record was last updated on Dec 19, 2024.