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Misty Marie Martin
Peer Specialist in Riverside, California
NPI 1508495334

Misty Marie Martin is a Peer Specialist based in Riverside, CA. Misty Marie Martin practices in Riverside, CA. The NPI Number for Misty Marie Martin is 1508495334 and holds a License No. (California).

The current practice location address for Misty Marie Martin is 2085 Rustin Ave, Riverside, CA and can be reached out via phone at 951-329-6580.

Location: 2085 Rustin Ave, Riverside, CA, 92507-2498
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508495334
Provider Name
Misty Marie Martin
Credential
Provider Entity Type
Individual
Gender
Female
Address
2085 Rustin Ave, Riverside, CA, 92507-2498
Phone Number
951-329-6580
Fax Number
Provider Enumeration Date
04/03/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2085 Rustin Ave
City
Riverside
State
California
Zip
92507-2498
Phone Number
951-329-6580
Fax Number
person
Provider Business Mailing Address Details
Address
2085 Rustin Ave
City
Riverside
State
California
Zip
92507-2498
Phone Number
951-329-6580
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
VEYZCRILABDTNOKJ (California)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(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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