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Jade Renee Moland
Peer Specialist in Long Beach, California
NPI 1528762853

Jade Renee Moland is a Peer Specialist based in Long Beach, CA. Jade Renee Moland practices in Long Beach, CA. The NPI Number for Jade Renee Moland is 1528762853 and holds a License No. MPSS-XNIKEB (California).

The current practice location address for Jade Renee Moland is 2101 Magnolia Ave, Long Beach, CA and can be reached out via phone at 562-218-1868 and via fax at 562-591-0346. You can also correspond with Jade Renee Moland through the mailing address at 2101 MAGNOLIA AVE, LONG BEACH, CA - 90806-4521 (mailing address contact number: 562-218-1868).

Location: 2101 Magnolia Ave, Long Beach, CA, 90806-4521
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528762853
Provider Name
Jade Renee Moland
Credential
Provider Entity Type
Individual
Gender
Female
Address
2101 Magnolia Ave, Long Beach, CA, 90806-4521
Phone Number
562-218-1868
Fax Number
562-591-0346
Provider Enumeration Date
03/29/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2101 Magnolia Ave
City
Long Beach
State
California
Zip
90806-4521
Phone Number
562-218-1868
Fax Number
562-591-0346
person
Provider Business Mailing Address Details
Address
2101 Magnolia Ave
City
Long Beach
State
California
Zip
90806-4521
Phone Number
562-218-1868
Fax Number
562-591-0346
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
MPSS-XNIKEB (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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