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Latisha Rose Mucker, PEERRECOVERYCOACH
Peer Specialist in Stockton, California
NPI 1245733203

Latisha Rose Mucker is a Peer Specialist based in Stockton, CA. Latisha Rose Mucker practices in Stockton, CA and has the professional credentials of PEERRECOVERYCOACH. The NPI Number for Latisha Rose Mucker is 1245733203 and holds a License No. (California).

The current practice location address for Latisha Rose Mucker is 620 N Aurora St, Stockton, CA and can be reached out via phone at 209-468-8786 and via fax at 209-468-9611.

Location: 620 N Aurora St, Stockton, CA, 95202-2343
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245733203
Provider Name
Latisha Rose Mucker
Credential
PEERRECOVERYCOACH
Provider Entity Type
Individual
Gender
Female
Address
620 N Aurora St, Stockton, CA, 95202-2343
Phone Number
209-468-8786
Fax Number
209-468-9611
Provider Enumeration Date
03/15/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
620 N Aurora St
City
Stockton
State
California
Zip
95202-2343
Phone Number
209-468-8786
Fax Number
209-468-9611
person
Provider Business Mailing Address Details
Address
620 N Aurora St
City
Stockton
State
California
Zip
95202-2343
Phone Number
209-468-8786
Fax Number
209-468-9611
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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