Shango Husani, Peer Specialist
Peer Specialist in Hollywood, FL. Individual provider (NPI-1).
NPI number1164053302
StatusActive
Last updated in NPPESJan 27, 2020
Details
- NPI
- 1164053302
- Entity type
- Individual (NPI-1)
- Name
- Mr. Shango Husani
- Credential
- Peer Specialist
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 27, 2020
- Certification date
- Jan 27, 2020
- Last updated
- Jan 27, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | CRPS100311-A | FL | Yes |
Practice location
2719 Hollywood Blvd Ste B208Hollywood, FL 33020-4821
Phone 305-766-6627
Mailing address
2719 Hollywood Blvd Ste B208Hollywood, FL 33020-4821
Phone 305-766-6627
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