Individual provider · Type 1 NPI

Angelica Lynette Tello

Peer Specialist · Modesto, CA

NPI number 1922819622 Active

Practice location

920 16th St # At
Modesto, CA 95354-1119

Mailing address

920 16th St
Modesto, CA 95354-1119

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XMPSS-ZWYVKF (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 1922819622

Angelica Lynette Tello's National Provider Identifier is 1922819622, issued on Jan 14, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Modesto, CA. The record was last updated on Apr 30, 2025.