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Nikole Renae Pratt
Peer Specialist in Escondido, California
NPI 1144986241

Nikole Renae Pratt is a Peer Specialist based in Escondido, CA. Nikole Renae Pratt practices in Escondido, CA. The NPI Number for Nikole Renae Pratt is 1144986241 and holds a License No. R1472250622 (California).

The current practice location address for Nikole Renae Pratt is 1820 S Escondido Blvd Ste 101, Escondido, CA and can be reached out via phone at 760-294-6356.

Location: 1820 S Escondido Blvd Ste 101, Escondido, CA, 92025-6535
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144986241
Provider Name
Nikole Renae Pratt
Credential
Provider Entity Type
Individual
Gender
Female
Address
1820 S Escondido Blvd Ste 101, Escondido, CA, 92025-6535
Phone Number
760-294-6356
Fax Number
Provider Enumeration Date
11/12/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1820 S Escondido Blvd Ste 101
City
Escondido
State
California
Zip
92025-6535
Phone Number
760-294-6356
Fax Number
person
Provider Business Mailing Address Details
Address
1820 S Escondido Blvd Ste 101
City
Escondido
State
California
Zip
92025-6535
Phone Number
760-294-6356
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
R1472250622 (California)
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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