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Tita Lynette Perez
Peer Specialist in Lahaina, Hawaii
NPI 1346993003

Tita Lynette Perez is a Peer Specialist based in Lahaina, HI. Tita Lynette Perez practices in Lahaina, HI. The NPI Number for Tita Lynette Perez is 1346993003 and holds a License No. (Hawaii).

The current practice location address for Tita Lynette Perez is 67 Kaniau Rd, Lahaina, HI and can be reached out via phone at 760-782-7621.

Location: 67 Kaniau Rd, Lahaina, HI, 96761-1836
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346993003
Provider Name
Tita Lynette Perez
Credential
Provider Entity Type
Individual
Gender
Female
Address
67 Kaniau Rd, Lahaina, HI, 96761-1836
Phone Number
760-782-7621
Fax Number
Provider Enumeration Date
02/01/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
67 Kaniau Rd
City
Lahaina
State
Hawaii
Zip
96761-1836
Phone Number
760-782-7621
Fax Number
person
Provider Business Mailing Address Details
Address
67 Kaniau Rd
City
Lahaina
State
Hawaii
Zip
96761-1836
Phone Number
760-782-7621
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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