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Kylie Amber Wyldbore
Peer Specialist in Santa Cruz, California
NPI 1194509745

Kylie Amber Wyldbore is a Peer Specialist based in Santa Cruz, CA. Kylie Amber Wyldbore practices in Santa Cruz, CA. The NPI Number for Kylie Amber Wyldbore is 1194509745 and holds a License No. MPSS-PGWUZT (California).

The current practice location address for Kylie Amber Wyldbore is 1201 Shaffer Rd., Santa Cruz, CA and can be reached out via phone at 831-888-6234.

Location: 1201 Shaffer Rd., Santa Cruz, CA, 95060
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194509745
Provider Name
Kylie Amber Wyldbore
Credential
Provider Entity Type
Individual
Gender
Female
Address
1201 Shaffer Rd., Santa Cruz, CA, 95060
Phone Number
831-888-6234
Fax Number
Provider Enumeration Date
08/23/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1201 Shaffer Rd.
City
Santa Cruz
State
California
Zip
95060
Phone Number
831-888-6234
Fax Number
person
Provider Business Mailing Address Details
Address
1201 Shaffer Rd.
City
Santa Cruz
State
California
Zip
95060
Phone Number
831-888-6234
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
MPSS-PGWUZT (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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