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Madison Dirkes
Peer Specialist in Temecula, California
NPI 1598414807

Madison Dirkes is a Peer Specialist based in Temecula, CA. Madison Dirkes practices in Temecula, CA. The NPI Number for Madison Dirkes is 1598414807 and holds a License No. (California).

The current practice location address for Madison Dirkes is 40925 County Center Dr Ste 110, Temecula, CA and can be reached out via phone at 951-940-6233.

Location: 40925 County Center Dr Ste 110, Temecula, CA, 92592
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598414807
Provider Name
Madison Dirkes
Credential
Provider Entity Type
Individual
Gender
Female
Address
40925 County Center Dr Ste 110, Temecula, CA, 92592
Phone Number
951-940-6233
Fax Number
Provider Enumeration Date
03/22/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
40925 County Center Dr Ste 110
City
Temecula
State
California
Zip
92591-6037
Phone Number
951-940-6233
Fax Number
person
Provider Business Mailing Address Details
Address
40925 County Center Dr Ste 110
City
Temecula
State
California
Zip
92591-6037
Phone Number
951-940-6233
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MPSS-BHKNWJ (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
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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