Ricardo Maravilla-garcia - Modesto, CA

Ricardo Maravilla-garcia

Peer Specialist in Modesto, California

NPI 1073176566

Ricardo Maravilla-garcia is a Peer Specialist based in Modesto, CA. Ricardo Maravilla-garcia practices in Modesto, CA. The NPI Number for Ricardo Maravilla-garcia is 1073176566 and holds a License No. (California).

The current practice location address for Ricardo Maravilla-garcia is 2215 Blue Gum Ave, Modesto, CA and can be reached out via phone at 209-525-5401.

Location: 2215 Blue Gum Ave, Modesto, CA, 95350-4545

NPI Number

1073176566

Provider Name

Ricardo Maravilla-garcia

Credential

Provider Entity Type

Individual

Gender

Male

Address

2215 Blue Gum Ave, Modesto, CA, 95350-4545

Phone Number

209-525-5401

Fax Number

Provider Enumeration Date

04/19/2019

Last Update Date

03/10/2024

Address

2215 Blue Gum Ave

City

Modesto

State

California

Zip

95358-1052

Phone Number

209-525-5401

Fax Number

Address

2215 Blue Gum Ave

City

Modesto

State

California

Zip

95358-1052

Phone Number

209-525-5401

Fax Number

Type

Other Service Providers

Classification

Peer Specialist

Speciality

Taxonomy

175T00000X

License No.

()

Definition

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.

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