Anna Starck, Peer Support
Peer Specialist in Riverside, CA. Individual provider (NPI-1).
NPI number1104671908
StatusActive
Last updated in NPPESApr 23, 2024
Details
- NPI
- 1104671908
- Entity type
- Individual (NPI-1)
- Name
- Anna Starck
- Credential
- Peer Support
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 23, 2024
- Certification date
- Apr 23, 2024
- Last updated
- Apr 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | MPSS-GPNCMS | CA | Yes |
Practice location
4295 Brockton AveRiverside, CA 92501-3446
Phone 951-341-3786
Mailing address
4295 Brockton AveRiverside, CA 92501-3446
Phone 951-341-3786
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