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Tearra Jaqulin Swift
Peer Specialist in Stockton, California
NPI 1558073908

Tearra Jaqulin Swift is a Peer Specialist based in Stockton, CA. Tearra Jaqulin Swift practices in Stockton, CA. The NPI Number for Tearra Jaqulin Swift is 1558073908 and holds a License No. (California).

The current practice location address for Tearra Jaqulin Swift is 2495 W March Ln Ste 125, Stockton, CA and can be reached out via phone at 209-465-1080.

Location: 2495 W March Ln Ste 125, Stockton, CA, 95207-8224
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558073908
Provider Name
Tearra Jaqulin Swift
Credential
Provider Entity Type
Individual
Gender
Female
Address
2495 W March Ln Ste 125, Stockton, CA, 95207-8224
Phone Number
209-465-1080
Fax Number
Provider Enumeration Date
12/16/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2495 W March Ln Ste 125
City
Stockton
State
California
Zip
95207-8224
Phone Number
209-465-1080
Fax Number
person
Provider Business Mailing Address Details
Address
2495 W March Ln Ste 125
City
Stockton
State
California
Zip
95207-8224
Phone Number
209-465-1080
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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