Andrea Lynne Gammage, PRS CATC IV CWC II
Peer Specialist in Hemet, CA. Individual provider (NPI-1).
NPI number1841892833
StatusActive
Last updated in NPPESAug 27, 2025
Details
- NPI
- 1841892833
- Entity type
- Individual (NPI-1)
- Name
- Andrea Lynne Gammage
- Credential
- PRS CATC IV CWC II
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 13, 2020
- Certification date
- Aug 27, 2025
- Last updated
- Aug 27, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | CA | Yes |
Practice location
25057 W Posey DrHemet, CA 92544-2741
Phone 951-357-6368
Mailing address
25057 W Posey DrHemet, CA 92544-2741
Phone 909-938-2381
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