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Nicolas Malo, PET
Peer Specialist in San Diego, California
NPI 1245966357

Nicolas Malo is a Peer Specialist based in San Diego, CA. Nicolas Malo practices in San Diego, CA and has the professional credentials of PET. The NPI Number for Nicolas Malo is 1245966357 and holds a License No. (California).

The current practice location address for Nicolas Malo is 734 10Th Ave, San Diego, CA and can be reached out via phone at 619-239-0024.

Location: 734 10Th Ave, San Diego, CA, 92102-2657
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245966357
Provider Name
Nicolas Malo
Credential
PET
Provider Entity Type
Individual
Gender
Male
Address
734 10Th Ave, San Diego, CA, 92102-2657
Phone Number
619-239-0024
Fax Number
Provider Enumeration Date
07/29/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
734 10Th Ave
City
San Diego
State
California
Zip
92101-6502
Phone Number
619-239-0024
Fax Number
person
Provider Business Mailing Address Details
Address
734 10Th Ave
City
San Diego
State
California
Zip
92101-6502
Phone Number
619-239-0024
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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