JESSICA JOAN COLAS NPI 1538507660

NPI Information

NPI: 1538507660
Provider Name: JESSICA JOAN COLAS
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
2620 INDUSTRY WAY
LYNWOOD, CA
ZIP 90262
Phone: (310) 557-4070
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Jessica Joan Colas is a peer specialist in Lynwood, 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. Jessica Joan Colas NPI is 1538507660. 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:

2620 INDUSTRY WAY
LYNWOOD, CA
ZIP 90262-024
Phone: (310) 557-4070

The enumeration date for this NPI number is 6/11/2013 and was last updated on 3/15/2023.

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:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	172V00000X	Community Health Worker	CRFLWPAJSBTMKHDZ	CALIFORNIA	No
2	175T00000X	Peer Specialist	CRFLWPAJSBTMKHDZ	CALIFORNIA	Yes
3	172V00000X	Community Health Worker			No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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