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Anthony Cedric Shields SR.
Peer Specialist in Perris, California
NPI 1366926420

Anthony Cedric Shields SR. is a Peer Specialist based in Perris, CA. Anthony Cedric Shields SR. practices in Perris, CA. The NPI Number for Anthony Cedric Shields SR. is 1366926420 and holds a License No. (California).

The current practice location address for Anthony Cedric Shields SR. is 170 Wilkerson Ave Ste A&B, Perris, CA and can be reached out via phone at 866-481-5361.

Location: 170 Wilkerson Ave Ste A&B, Perris, CA, 92570-2200
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366926420
Provider Name
Anthony Cedric Shields SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
170 Wilkerson Ave Ste A&B, Perris, CA, 92570-2200
Phone Number
866-481-5361
Fax Number
Provider Enumeration Date
09/24/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
170 Wilkerson Ave Ste A&B
City
Perris
State
California
Zip
92570-2200
Phone Number
866-481-5361
Fax Number
person
Provider Business Mailing Address Details
Address
170 Wilkerson Ave Ste A&B
City
Perris
State
California
Zip
92570-2200
Phone Number
866-481-5361
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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