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John Richard Haalboom JR.
Peer Specialist in Banning, California
NPI 1568154623

John Richard Haalboom JR. is a Peer Specialist based in Banning, CA. John Richard Haalboom JR. practices in Banning, CA. The NPI Number for John Richard Haalboom JR. is 1568154623 and holds a License No. (California).

The current practice location address for John Richard Haalboom JR. is 43250 Midnight Ct, Banning, CA and can be reached out via phone at 951-922-1725.

Location: 43250 Midnight Ct, Banning, CA, 92220-9565
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568154623
Provider Name
John Richard Haalboom JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
43250 Midnight Ct, Banning, CA, 92220-9565
Phone Number
951-922-1725
Fax Number
Provider Enumeration Date
05/25/2023
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
951-922-1725
Fax Number
person
Provider Business Mailing Address Details
Address
43250 Midnight Ct
City
Banning
State
California
Zip
92220-9565
Phone Number
951-922-1725
Fax Number
person
Provider's Taxonomy Details 1
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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