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Trista Dora Loutsenhizer
Peer Specialist in Yucca Valley, California
NPI 1730829615

Trista Dora Loutsenhizer is a Peer Specialist based in Yucca Valley, CA. Trista Dora Loutsenhizer practices in Yucca Valley, CA. The NPI Number for Trista Dora Loutsenhizer is 1730829615 and holds a License No. (California).

The current practice location address for Trista Dora Loutsenhizer is 58923 Business Center Dr Ste E, Yucca Valley, CA and can be reached out via phone at 760-399-0565.

Location: 58923 Business Center Dr Ste E, Yucca Valley, CA, 92284-7311
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730829615
Provider Name
Trista Dora Loutsenhizer
Credential
Provider Entity Type
Individual
Gender
Female
Address
58923 Business Center Dr Ste E, Yucca Valley, CA, 92284-7311
Phone Number
760-399-0565
Fax Number
Provider Enumeration Date
03/30/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
58923 Business Center Dr Ste E
City
Yucca Valley
State
California
Zip
92284-7311
Phone Number
760-399-0565
Fax Number
person
Provider Business Mailing Address Details
Address
58923 Business Center Dr Ste E
City
Yucca Valley
State
California
Zip
92284-7311
Phone Number
760-399-0565
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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