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Jacob Paul Gallardofox
Peer Specialist in Perris, California
NPI 1194438671

Jacob Paul Gallardofox is a Peer Specialist based in Temecula, CA. Jacob Paul Gallardofox practices in Perris, CA. The NPI Number for Jacob Paul Gallardofox is 1194438671 and holds a License No. (California).

The current practice location address for Jacob Paul Gallardofox is 450 E San Jacinto Ave, Perris, CA and can be reached out via phone at 951-443-2299.

Location: 450 E San Jacinto Ave, Perris, CA, 92592-1464
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194438671
Provider Name
Jacob Paul Gallardofox
Credential
Provider Entity Type
Individual
Gender
Male
Address
450 E San Jacinto Ave, Perris, CA, 92592-1464
Phone Number
951-443-2299
Fax Number
Provider Enumeration Date
12/29/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
450 E San Jacinto Ave
City
Perris
State
California
Zip
92571-2833
Phone Number
951-443-2299
Fax Number
person
Provider Business Mailing Address Details
Address
450 E San Jacinto Ave
City
Perris
State
California
Zip
92571-2833
Phone Number
951-443-2299
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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