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Danial Ray Phipps JR.
Peer Specialist in Lake Elsinore, California
NPI 1699357541

Danial Ray Phipps JR. is a Peer Specialist based in Lake Elsinore, CA. Danial Ray Phipps JR. practices in Lake Elsinore, CA. The NPI Number for Danial Ray Phipps JR. is 1699357541 and holds a License No. (California).

The current practice location address for Danial Ray Phipps JR. is 31764 Casino Dr Ste 200, Lake Elsinore, CA and can be reached out via phone at 951-471-4649.

Location: 31764 Casino Dr Ste 200, Lake Elsinore, CA, 92530-2312
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699357541
Provider Name
Danial Ray Phipps JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
31764 Casino Dr Ste 200, Lake Elsinore, CA, 92530-2312
Phone Number
951-471-4649
Fax Number
Provider Enumeration Date
04/21/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
31764 Casino Dr Ste 200
City
Lake Elsinore
State
California
Zip
92530-2312
Phone Number
951-471-4649
Fax Number
person
Provider Business Mailing Address Details
Address
31764 Casino Dr Ste 200
City
Lake Elsinore
State
California
Zip
92530-2312
Phone Number
951-471-4649
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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