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Jose Jr Carreon-bennett
Peer Specialist in Lancaster, California
NPI 1417720541

Jose Jr Carreon-bennett is a Peer Specialist based in Lancaster, CA. Jose Jr Carreon-bennett practices in Lancaster, CA. The NPI Number for Jose Jr Carreon-bennett is 1417720541 and holds a License No. (California).

The current practice location address for Jose Jr Carreon-bennett is 43520 Division St, Lancaster, CA and can be reached out via phone at 661-266-4783 and via fax at 661-266-1210.

Location: 43520 Division St, Lancaster, CA, 93535-4089
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417720541
Provider Name
Jose Jr Carreon-bennett
Credential
Provider Entity Type
Individual
Gender
Male
Address
43520 Division St, Lancaster, CA, 93535-4089
Phone Number
661-266-4783
Fax Number
661-266-1210
Provider Enumeration Date
10/31/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
95-2633765 05 CA
institution
Provider Business Practice Location Address Details
Address
43520 Division St
City
Lancaster
State
California
Zip
93535-4089
Phone Number
661-266-4783
Fax Number
661-266-1210
person
Provider Business Mailing Address Details
Address
43520 Division St
City
Lancaster
State
California
Zip
93535-4089
Phone Number
661-266-4783
Fax Number
661-266-1210
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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