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Destiny Rae Razo
Peer Specialist in Los Banos, California
NPI 1114602075

Destiny Rae Razo is a Peer Specialist based in Los Banos, CA. Destiny Rae Razo practices in Los Banos, CA. The NPI Number for Destiny Rae Razo is 1114602075 and holds a License No. (California).

The current practice location address for Destiny Rae Razo is 40 W G St, Los Banos, CA and can be reached out via phone at 209-381-6800 and via fax at 209-725-3963.

Location: 40 W G St, Los Banos, CA, 93635-4234
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114602075
Provider Name
Destiny Rae Razo
Credential
Provider Entity Type
Individual
Gender
Female
Address
40 W G St, Los Banos, CA, 93635-4234
Phone Number
209-381-6800
Fax Number
209-725-3963
Provider Enumeration Date
06/19/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
40 W G St
City
Los Banos
State
California
Zip
93635-3657
Phone Number
209-381-6800
Fax Number
209-725-3963
person
Provider Business Mailing Address Details
Address
40 W G St
City
Los Banos
State
California
Zip
93635-3657
Phone Number
209-381-6800
Fax Number
209-725-3963
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(California)
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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