person
John Zacharias
Peer Specialist in Modesto, California
NPI 1396308698

John Zacharias is a Peer Specialist based in Modesto, CA. John Zacharias practices in Modesto, CA. The NPI Number for John Zacharias is 1396308698 and holds a License No. MPSS-MQSNDC (California).

The current practice location address for John Zacharias is 522 E Granger Ave, Modesto, CA and can be reached out via phone at 209-558-4610. You can also correspond with John Zacharias through the mailing address at 500 N 9TH ST, MODESTO, CA - 95350-5814 (mailing address contact number: 209-558-4610).

Location: 522 E Granger Ave, Modesto, CA, 95350-5814
person
Provider Profile Details
NPI Number
1396308698
Provider Name
John Zacharias
Credential
Provider Entity Type
Individual
Gender
Male
Address
522 E Granger Ave, Modesto, CA, 95350-5814
Phone Number
209-558-4610
Fax Number
Provider Enumeration Date
04/22/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
522 E Granger Ave
City
State
Zip
95350-4545
Phone Number
209-558-4610
Fax Number
person
Provider Business Mailing Address Details
Address
522 E Granger Ave
City
State
Zip
95350-4545
Phone Number
209-558-4610
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
MPSS-MQSNDC (California)
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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