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Fanny Raquel Aviles
Peer Specialist in Ceres, California
NPI 1114581634

Fanny Raquel Aviles is a Peer Specialist based in Ceres, CA. Fanny Raquel Aviles practices in Ceres, CA. The NPI Number for Fanny Raquel Aviles is 1114581634 and holds a License No. (California).

The current practice location address for Fanny Raquel Aviles is 1904 Richland Ave # D, Ceres, CA and can be reached out via phone at 209-552-9878.

Location: 1904 Richland Ave # D, Ceres, CA, 95307-4562
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114581634
Provider Name
Fanny Raquel Aviles
Credential
Provider Entity Type
Individual
Gender
Female
Address
1904 Richland Ave # D, Ceres, CA, 95307-4562
Phone Number
209-552-9878
Fax Number
Provider Enumeration Date
04/30/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1904 Richland Ave # D
City
Ceres
State
California
Zip
95307-4562
Phone Number
209-552-9878
Fax Number
person
Provider Business Mailing Address Details
Address
1904 Richland Ave # D
City
Ceres
State
California
Zip
95307-4562
Phone Number
209-552-9878
Fax Number
person
Provider's Taxonomy Details 1
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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