person
Cory Devin Mackinnon
Peer Specialist in Escondido, California
NPI 1386123370

Cory Devin Mackinnon is a Peer Specialist based in Escondido, CA. Cory Devin Mackinnon practices in Escondido, CA. The NPI Number for Cory Devin Mackinnon is 1386123370 and holds a License No. (California).

The current practice location address for Cory Devin Mackinnon is 490 N Grape St, Escondido, CA and can be reached out via phone at 760-975-9939.

Location: 490 N Grape St, Escondido, CA, 92025-3079
person
Provider Profile Details
NPI Number
1386123370
Provider Name
Cory Devin Mackinnon
Credential
Provider Entity Type
Individual
Gender
Male
Address
490 N Grape St, Escondido, CA, 92025-3079
Phone Number
760-975-9939
Fax Number
Provider Enumeration Date
08/09/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
490 N Grape St
City
State
Zip
92025-3079
Phone Number
760-975-9939
Fax Number
person
Provider Business Mailing Address Details
Address
490 N Grape St
City
State
Zip
92025-3079
Phone Number
760-975-9939
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
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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