Individual provider · Type 1 NPI

Alexander Petricevic

Peer Specialist · Lancaster, CA

NPI number 1891502118 Active

Practice location

44505 90th St W
Lancaster, CA 93536-7705

Mailing address

44447 10th St W
Lancaster, CA 93534-3324

Other practice locations

  • 44447 10th St W, Lancaster, CA 93534-3324 · (661) 726-2630

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XMPSS-FHTDKM (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 1891502118

Alexander Petricevic's National Provider Identifier is 1891502118, issued on Dec 11, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Lancaster, CA. The record was last updated on May 8, 2025.