Individual provider · Type 1 NPI

Desirae D'shawn Bush

Peer Specialist · Riverside, CA

NPI number 1942915111 Active

Practice location

3576 Arlington Ave Ste 106
Riverside, CA 92506-3907

Fax (951) 788-5903

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XMPSS-MAUCYV (CA)
Community Health Worker 172V00000XNone 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 1942915111

Desirae D'shawn Bush's National Provider Identifier is 1942915111, issued on Jan 20, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Riverside, CA. The record was last updated on Jun 11, 2024.