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Autum Rae Clements
Peer Specialist in Riverside, California
NPI 1720747942

Autum Rae Clements is a Peer Specialist based in Riverside, CA. Autum Rae Clements practices in Riverside, CA. The NPI Number for Autum Rae Clements is 1720747942 and holds a License No. (California).

The current practice location address for Autum Rae Clements is 4295 Brockton Ave, Riverside, CA and can be reached out via phone at 951-341-3786.

Location: 4295 Brockton Ave, Riverside, CA, 92504-2037
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720747942
Provider Name
Autum Rae Clements
Credential
Provider Entity Type
Individual
Gender
Female
Address
4295 Brockton Ave, Riverside, CA, 92504-2037
Phone Number
951-341-3786
Fax Number
Provider Enumeration Date
12/15/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1487716619 05 CA
institution
Provider Business Practice Location Address Details
Address
4295 Brockton Ave
City
Riverside
State
California
Zip
92501-3446
Phone Number
951-341-3786
Fax Number
person
Provider Business Mailing Address Details
Address
4295 Brockton Ave
City
Riverside
State
California
Zip
92501-3446
Phone Number
951-341-3786
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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