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Gustavo Adolfo Leon-raigoza
Peer Specialist in Palm Springs, California
NPI 1568052850

Gustavo Adolfo Leon-raigoza is a Peer Specialist based in Palm Springs, CA. Gustavo Adolfo Leon-raigoza practices in Palm Springs, CA. The NPI Number for Gustavo Adolfo Leon-raigoza is 1568052850 and holds a License No. (California).

The current practice location address for Gustavo Adolfo Leon-raigoza is 333 S Farrell Dr, Palm Springs, CA and can be reached out via phone at 760-883-2700.

Location: 333 S Farrell Dr, Palm Springs, CA, 92262-7905
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568052850
Provider Name
Gustavo Adolfo Leon-raigoza
Credential
Provider Entity Type
Individual
Gender
Male
Address
333 S Farrell Dr, Palm Springs, CA, 92262-7905
Phone Number
760-883-2700
Fax Number
Provider Enumeration Date
01/21/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
333 S Farrell Dr
City
Palm Springs
State
California
Zip
92262-7905
Phone Number
760-883-2700
Fax Number
person
Provider Business Mailing Address Details
Address
333 S Farrell Dr
City
Palm Springs
State
California
Zip
92262-7905
Phone Number
760-883-2700
Fax Number
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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