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Miss Lily J Shade
Peer Specialist in Palm Springs, California
NPI 1215799903

Lily J Shade is a Peer Specialist based in Palm Springs, CA. Lily J Shade practices in Palm Springs, CA. The NPI Number for Lily J Shade is 1215799903 and holds a License No. (California).

The current practice location address for Lily J Shade is 2500 N Palm Canyon Dr Ste A1-A4, Palm Springs, CA and can be reached out via phone at 760-424-5602.

Location: 2500 N Palm Canyon Dr Ste A1-A4, Palm Springs, CA, 92262-1868
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215799903
Provider Name
Lily J Shade
Credential
Provider Entity Type
Individual
Gender
Female
Address
2500 N Palm Canyon Dr Ste A1-A4, Palm Springs, CA, 92262-1868
Phone Number
760-424-5602
Fax Number
Provider Enumeration Date
01/29/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2500 N Palm Canyon Dr Ste A1-A4
City
Palm Springs
State
California
Zip
92262-1868
Phone Number
760-424-5602
Fax Number
person
Provider Business Mailing Address Details
Address
2500 N Palm Canyon Dr Ste A1-A4
City
Palm Springs
State
California
Zip
92262-1868
Phone Number
760-424-5602
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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