IndividualActive
Adrienne Green
NPI 1093336356 · Peer Specialist · San Bernardino, CA
Provider details
- NPI number
- 1093336356
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- MPSS-LCEAQZ (CA)
Specialties & taxonomies
Other Service Providers
- Community Health Worker172V00000X
Other Service Providers
- Day Training/Habilitation Specialist373H00000X
Nursing Service Related Providers
Practice location
572 N Arrowhead Ave
San Bernardino, CA 92401-1251
Phone: (909) 266-2700
Fax: (909) 266-2710
Approximate (ZIP-level) locationGet directions
Mailing address
572 N Arrowhead Ave
San Bernardino, CA 92401-1251
Registry dates
- Enumerated
- 2020-04-28
- Last updated
- 2026-03-23
- Certified
- 2026-03-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.