KATIE JEAN WOOD - NPI 1447766043 - Peer Specialist in San Diego, CA

Q: What is the provider's specialty?

The provider's specialty is Peer Specialist with taxonomy code 175T00000X.

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About Katie Jean Wood NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATIE JEAN WOOD (NPI 1447766043) is an individual peer specialist in San Diego, California and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1447766043

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameKATIE JEAN WOOD

Location Address928 BROADWAYSan Diego, CA 92101-5514

Mailing Address928 BroadwaySan Diego, CA 92101-5514

Phone(619) 977-3716

Sole ProprietorNo

Enumeration DateDecember 18, 2017

Last NPPES UpdateDecember 28, 20172 updates tracked since enumeration

✔ NPI 1447766043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

928 BROADWAY, San Diego, CA 92101

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GEORGINA DAVALOS

Case Manager/Care Coordinator