MARISSA YESENIA MOISA HERNANDEZ - NPI 1821716101 - Peer Specialist in Lancaster, CA

Q: What is the provider's specialty?

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

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About Marissa Yesenia Moisa Hernandez NPPES

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

MARISSA YESENIA MOISA HERNANDEZ (NPI 1821716101) is an individual peer specialist in Lancaster, California, licensed in California (MPSS-QUOEZY) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1821716101

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameMARISSA YESENIA MOISA HERNANDEZ

Location Address44505 90TH ST WLancaster, CA 93536-7705

Mailing Address44205 Honeybee LnLancaster, CA 93536-7129 · (661) 992-9424

Phone(661) 992-9424

Sole ProprietorNo

Enumeration DateAugust 22, 2022

Last NPPES UpdateApril 30, 2025

NPPES CertifiedApril 30, 2025

✔ NPI 1821716101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

License✔ Licensed in CA · MPSS-QUOEZY

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.

44505 90TH ST W, Lancaster, CA 93536

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