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Nickolas Alexander King
Peer Specialist in Banning, California
NPI 1538948948

Nickolas Alexander King is a Peer Specialist based in Riverside, CA. Nickolas Alexander King practices in Banning, CA. The NPI Number for Nickolas Alexander King is 1538948948 and holds a License No. MPSS-KNYRJU (California).

The current practice location address for Nickolas Alexander King is 43250 Midnight Ct, Banning, CA and can be reached out via phone at 951-683-6596.

Location: 43250 Midnight Ct, Banning, CA, 92504-2037
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538948948
Provider Name
Nickolas Alexander King
Credential
Provider Entity Type
Individual
Gender
Male
Address
43250 Midnight Ct, Banning, CA, 92504-2037
Phone Number
951-683-6596
Fax Number
Provider Enumeration Date
09/25/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
43250 Midnight Ct
City
Banning
State
California
Zip
92220-9565
Phone Number
951-683-6596
Fax Number
person
Provider Business Mailing Address Details
Address
43250 Midnight Ct
City
Banning
State
California
Zip
92220-9565
Phone Number
951-683-6596
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
MPSS-KNYRJU (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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