Individual provider · Type 1 NPI

Clonge Wayne Rafus

Peer Specialist · Oakland, CA

NPI number 1851717318 Active

Practice location

7200 Bancroft Ave Ste 267
Oakland, CA 94605-2408

Fax (510) 647-9408

Mailing address

2342 Shattuck Ave Apt 112
Berkeley, CA 94704-1517

Specialties and licenses

TaxonomyCodeLicense
Specialist 174400000XNone listed
Peer Specialist Primary 175T00000XNone 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 1851717318

Clonge Wayne Rafus's National Provider Identifier is 1851717318, issued on Mar 7, 2014. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Oakland, CA. The record was last updated on Jan 27, 2025.