TISHA LEE KOEN NPI 1235778465

NPI Information

Tisha Lee Koen is a peer specialist in Eureka, CA. The provider is 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. Tisha Lee Koen NPI is 1235778465. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2933 H ST
EUREKA, CA
ZIP 95501-407
Phone: (707) 441-3783

The enumeration date for this NPI number is 1/6/2020 and was last updated on 1/6/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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