Wing Shum is a Peer Specialist based in San Francisco, CA. Wing Shum practices in San Francisco, CA. The NPI Number for Wing Shum is 1376045724 and holds a License No. (California).
The current practice location address for Wing Shum is 3626 Balboa St, San Francisco, CA and can be reached out via phone at 415-668-5955.
Location: 3626 Balboa St, San Francisco, CA, 94121-2604
Provider Profile Details
NPI Number
1376045724
Provider Name
Wing Shum
Credential
Provider Entity Type
Individual
Gender
Female
Address
3626 Balboa St, San Francisco, CA, 94121-2604
Phone Number
415-668-5955
Fax Number
Provider Enumeration Date
03/01/2018
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 089-199-843 | 01 | GREEN CARD |
Provider Business Practice Location Address Details
Address
3626 Balboa St
City
State
Zip
94121-2604
Phone Number
415-668-5955
Fax Number
Provider Business Mailing Address Details
Address
3626 Balboa St
City
State
Zip
94121-2604
Phone Number
415-668-5955
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
(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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