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Masum Abdul Khabir Bennerson, PRC
Peer Specialist in Perris, California
NPI 1255933297

Masum Abdul Khabir Bennerson is a Peer Specialist based in Perris, CA. Masum Abdul Khabir Bennerson practices in Perris, CA and has the professional credentials of PRC. The NPI Number for Masum Abdul Khabir Bennerson is 1255933297 and holds a License No. (California).

The current practice location address for Masum Abdul Khabir Bennerson is 85 Ramona Expy Ste 123, Perris, CA and can be reached out via phone at 951-349-4195.

Location: 85 Ramona Expy Ste 123, Perris, CA, 92571-7014
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255933297
Provider Name
Masum Abdul Khabir Bennerson
Credential
PRC
Provider Entity Type
Individual
Gender
Male
Address
85 Ramona Expy Ste 123, Perris, CA, 92571-7014
Phone Number
951-349-4195
Fax Number
Provider Enumeration Date
11/13/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
85 Ramona Expy Ste 123
City
Perris
State
California
Zip
92571-7014
Phone Number
951-349-4195
Fax Number
person
Provider Business Mailing Address Details
Address
85 Ramona Expy Ste 123
City
Perris
State
California
Zip
92571-7014
Phone Number
951-349-4195
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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