LATISHA MUCKER, PEER RECOVERY COACH

Peer Specialist

Active Individual
NPI: 1245733203

Practice Address

620 N AURORA ST
Stockton, CA 95202

Phone: (209) 468-8786

Specialties

Specialty Code Primary License
Peer Specialist 175T00000X Yes -

Frequently Asked Questions

NPI 1245733203 is the National Provider Identifier for LATISHA MUCKER, PEER RECOVERY COACH, a Peer Specialist provider located in Stockton, CA. This NPI was enumerated on March 15, 2018.
LATISHA MUCKER, PEER RECOVERY COACH practices at 620 N AURORA ST, Stockton, CA 95202.

Quick Facts

NPI
1245733203
Type
Individual
Enumerated
Mar 15, 2018
Last Updated
Oct 30, 2023

Nearby Providers