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Kiley Lynn Koch, CPRM
Peer Specialist in Alameda, California
NPI 1447930698

Kiley Lynn Koch is a Peer Specialist based in Alameda, CA. Kiley Lynn Koch practices in Alameda, CA and has the professional credentials of CPRM. The NPI Number for Kiley Lynn Koch is 1447930698 and holds a License No. (California).

The current practice location address for Kiley Lynn Koch is 1080 Marina Village Pkwy Ste 100, Alameda, CA and can be reached out via phone at 510-306-5660.

Location: 1080 Marina Village Pkwy Ste 100, Alameda, CA, 94501-1078
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447930698
Provider Name
Kiley Lynn Koch
Credential
CPRM
Provider Entity Type
Individual
Gender
Female
Address
1080 Marina Village Pkwy Ste 100, Alameda, CA, 94501-1078
Phone Number
510-306-5660
Fax Number
Provider Enumeration Date
07/21/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1080 Marina Village Pkwy Ste 100
City
Alameda
State
California
Zip
94501-1078
Phone Number
510-306-5660
Fax Number
person
Provider Business Mailing Address Details
Address
1080 Marina Village Pkwy Ste 100
City
Alameda
State
California
Zip
94501-1078
Phone Number
510-306-5660
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
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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