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Mr. Richard Michael Smith
Peer Specialist in Lemon Grove, California
NPI 1407554959

Richard Michael Smith is a Peer Specialist based in El Cajon, CA. Richard Michael Smith practices in Lemon Grove, CA. The NPI Number for Richard Michael Smith is 1407554959 and holds a License No. (California).

The current practice location address for Richard Michael Smith is 2049 Skyline Dr, Lemon Grove, CA and can be reached out via phone at 619-465-7303.

Location: 2049 Skyline Dr, Lemon Grove, CA, 92020-1651
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407554959
Provider Name
Richard Michael Smith
Credential
Provider Entity Type
Individual
Gender
Male
Address
2049 Skyline Dr, Lemon Grove, CA, 92020-1651
Phone Number
619-465-7303
Fax Number
Provider Enumeration Date
02/22/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2049 Skyline Dr
City
Lemon Grove
State
California
Zip
91945-4221
Phone Number
619-465-7303
Fax Number
person
Provider Business Mailing Address Details
Address
2049 Skyline Dr
City
Lemon Grove
State
California
Zip
91945-4221
Phone Number
619-465-7303
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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