person
Latisha Shaw
Peer Specialist in Huntington Park, California
NPI 1932972114

Latisha Shaw is a Peer Specialist based in Huntington Park, CA. Latisha Shaw practices in Huntington Park, CA. The NPI Number for Latisha Shaw is 1932972114 and holds a License No. (California).

The current practice location address for Latisha Shaw is 2677 Zoe Ave Ste 304, Huntington Park, CA and can be reached out via phone at 323-346-0960.

Location: 2677 Zoe Ave Ste 304, Huntington Park, CA, 90255-3699
person
Provider Profile Details
NPI Number
1932972114
Provider Name
Latisha Shaw
Credential
Provider Entity Type
Individual
Gender
Female
Address
2677 Zoe Ave Ste 304, Huntington Park, CA, 90255-3699
Phone Number
323-346-0960
Fax Number
Provider Enumeration Date
10/31/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2677 Zoe Ave Ste 304
City
State
Zip
90255-3699
Phone Number
323-346-0960
Fax Number
person
Provider Business Mailing Address Details
Address
2677 Zoe Ave Ste 304
City
State
Zip
90255-3699
Phone Number
323-346-0960
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
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.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
License No.
()
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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