Individual provider · Type 1 NPI

Kristine Mae Faddisstuart

Peer Specialist · San Andreas, CA

NPI number 1891635520 Active

Practice location

590 Toyanza Drive
San Andreas, CA 95249-9713

Call (209) 754-6562 Map

Mailing address

1825 Live Oak Dr
Vallecito, CA 95251-9603

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XMPSS-RMODKG (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.

12 other providers at this address

About NPI 1891635520

Kristine Mae Faddisstuart's National Provider Identifier is 1891635520, issued on Mar 31, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in San Andreas, CA. The record was last updated on Mar 31, 2026.