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Katiana Charmayne Bland
Peer Specialist in Fontana, California
NPI 1124682240

Katiana Charmayne Bland is a Peer Specialist based in Riverside, CA. Katiana Charmayne Bland practices in Fontana, CA. The NPI Number for Katiana Charmayne Bland is 1124682240 and holds a License No. (California).

The current practice location address for Katiana Charmayne Bland is 14677 Merrill Ave, Fontana, CA and can be reached out via phone at 951-643-2340. You can also correspond with Katiana Charmayne Bland through the mailing address at 1145 BLAZEWOOD ST, RIVERSIDE, CA - 92507-5908 (mailing address contact number: ).

Location: 14677 Merrill Ave, Fontana, CA, 92507-5908
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124682240
Provider Name
Katiana Charmayne Bland
Credential
Provider Entity Type
Individual
Gender
Female
Address
14677 Merrill Ave, Fontana, CA, 92507-5908
Phone Number
951-643-2340
Fax Number
Provider Enumeration Date
04/24/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
14677 Merrill Ave
City
Fontana
State
California
Zip
92335
Phone Number
951-643-2340
Fax Number
person
Provider Business Mailing Address Details
Address
14677 Merrill Ave
City
Fontana
State
California
Zip
92335
Phone Number
951-643-2340
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
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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