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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
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Huntington Park
State
California
Zip
90255-3699
Phone Number
323-346-0960
Fax Number
person
Provider Business Mailing Address Details
Address
2677 Zoe Ave Ste 304
City
Huntington Park
State
California
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
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.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
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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