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Kaitlynn Sarah Mathews
Peer Specialist in Santa Maria, California
NPI 1235775750

Kaitlynn Sarah Mathews is a Peer Specialist based in Santa Maria, CA. Kaitlynn Sarah Mathews practices in Santa Maria, CA. The NPI Number for Kaitlynn Sarah Mathews is 1235775750 and holds a License No. MPSS-WAJRKN (California).

The current practice location address for Kaitlynn Sarah Mathews is 116 Agnes Ave, Santa Maria, CA and can be reached out via phone at 805-457-3724.

Location: 116 Agnes Ave, Santa Maria, CA, 93458-2838
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235775750
Provider Name
Kaitlynn Sarah Mathews
Credential
Provider Entity Type
Individual
Gender
Female
Address
116 Agnes Ave, Santa Maria, CA, 93458-2838
Phone Number
805-457-3724
Fax Number
Provider Enumeration Date
11/19/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1205480563 01 CA TELECARE AGNES AVE
institution
Provider Business Practice Location Address Details
Address
116 Agnes Ave
City
Santa Maria
State
California
Zip
93458-2838
Phone Number
805-457-3724
Fax Number
person
Provider Business Mailing Address Details
Address
116 Agnes Ave
City
Santa Maria
State
California
Zip
93458-2838
Phone Number
805-457-3724
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
MPSS-WAJRKN (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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