Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Latisha Rose Mucker, PEERRECOVERYCOACH

Individual provider Day Training/Habilitation Specialist · NPI 1245733203

Latisha Rose Mucker, PEERRECOVERYCOACH is a Day Training/Habilitation Specialist in Stockton, California. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2

Practice location Address checks out

620 N Aurora St
Stockton, CA 95202-2343
Phone: (209) 468-8786
Fax: (209) 468-9611
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Day Training/Habilitation Specialist (primary) Taxonomy 373H00000X
Peer Specialist Taxonomy 175T00000X

Record details

NPI number1245733203
Entity typeIndividual (Type 1)
GenderFemale
Credentials PEERRECOVERYCOACH
Sole proprietorNo
NPI enumeratedMarch 15, 2018
Last updated in NPPESJune 19, 2026
Certification dateJune 19, 2026

Other providers in Stockton