Individual
DESTINY MARIE NEWBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1021 4TH ST, TAFT, CA 93268-2433
(661) 765-7025
Mailing address
1021 4TH ST, TAFT, CA 93268-2433
(661) 765-7025
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
CA
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
03/10/2022
Last updated
03/18/2025
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