person
Truman Lynn Northern
Peer Specialist in Modesto, California
NPI 1043874027

Truman Lynn Northern is a Peer Specialist based in Modesto, CA. Truman Lynn Northern practices in Modesto, CA. The NPI Number for Truman Lynn Northern is 1043874027 and holds a License No. (California).

The current practice location address for Truman Lynn Northern is 609 5Th St, Modesto, CA and can be reached out via phone at 209-341-0718. You can also correspond with Truman Lynn Northern through the mailing address at 609 5TH ST, MODESTO, CA - 95351-3316 (mailing address contact number: 209-341-0718).

Location: 609 5Th St, Modesto, CA, 95351-3316
person
Provider Profile Details
NPI Number
1043874027
Provider Name
Truman Lynn Northern
Credential
Provider Entity Type
Individual
Gender
Male
Address
609 5Th St, Modesto, CA, 95351-3316
Phone Number
209-341-0718
Fax Number
Provider Enumeration Date
04/25/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
609 5Th St
City
State
Zip
95351-3316
Phone Number
209-341-0718
Fax Number
person
Provider Business Mailing Address Details
Address
609 5Th St
City
State
Zip
95351-3316
Phone Number
209-341-0718
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
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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