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Mr. Tom Roy Taylor
Peer Specialist in San Jacinto, California
NPI 1275193591

Tom Roy Taylor is a Peer Specialist based in San Jacinto, CA. Tom Roy Taylor practices in San Jacinto, CA. The NPI Number for Tom Roy Taylor is 1275193591 and holds a License No. (California).

The current practice location address for Tom Roy Taylor is 1370 S State St Ste B, San Jacinto, CA and can be reached out via phone at 951-791-3596 and via fax at 951-791-3397.

Location: 1370 S State St Ste B, San Jacinto, CA, 92583-4922
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275193591
Provider Name
Tom Roy Taylor
Credential
Provider Entity Type
Individual
Gender
Male
Address
1370 S State St Ste B, San Jacinto, CA, 92583-4922
Phone Number
951-791-3596
Fax Number
951-791-3397
Provider Enumeration Date
06/18/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1370 S State St Ste B
City
San Jacinto
State
California
Zip
92583-4922
Phone Number
951-791-3596
Fax Number
951-791-3397
person
Provider Business Mailing Address Details
Address
1370 S State St Ste B
City
San Jacinto
State
California
Zip
92583-4922
Phone Number
951-791-3596
Fax Number
951-791-3397
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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