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Matthew Mark Connolly
Peer Specialist in Lake Elsinore, California
NPI 1548868169

Matthew Mark Connolly is a Peer Specialist based in Lake Elsinore, CA. Matthew Mark Connolly practices in Lake Elsinore, CA. The NPI Number for Matthew Mark Connolly is 1548868169 and holds a License No. (California).

The current practice location address for Matthew Mark Connolly is 31946 Mission Trl Ste B, Lake Elsinore, CA and can be reached out via phone at 951-471-4300 and via fax at 951-674-6431.

Location: 31946 Mission Trl Ste B, Lake Elsinore, CA, 92530-4539
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548868169
Provider Name
Matthew Mark Connolly
Credential
Provider Entity Type
Individual
Gender
Male
Address
31946 Mission Trl Ste B, Lake Elsinore, CA, 92530-4539
Phone Number
951-471-4300
Fax Number
951-674-6431
Provider Enumeration Date
10/15/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
31946 Mission Trl Ste B
City
Lake Elsinore
State
California
Zip
92530-4539
Phone Number
951-471-4300
Fax Number
951-674-6431
person
Provider Business Mailing Address Details
Address
31946 Mission Trl Ste B
City
Lake Elsinore
State
California
Zip
92530-4539
Phone Number
951-471-4300
Fax Number
951-674-6431
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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