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Corben Michael Philip Raley
Peer Specialist in Ridgecrest, California
NPI 1790422178

Corben Michael Philip Raley is a Peer Specialist based in Ridgecrest, CA. Corben Michael Philip Raley practices in Ridgecrest, CA. The NPI Number for Corben Michael Philip Raley is 1790422178 and holds a License No. (California).

The current practice location address for Corben Michael Philip Raley is 1400 N Norma St Ste 131, Ridgecrest, CA and can be reached out via phone at 760-463-5059 and via fax at 760-499-9259.

Location: 1400 N Norma St Ste 131, Ridgecrest, CA, 93555-2577
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790422178
Provider Name
Corben Michael Philip Raley
Credential
Provider Entity Type
Individual
Gender
Male
Address
1400 N Norma St Ste 131, Ridgecrest, CA, 93555-2577
Phone Number
760-463-5059
Fax Number
760-499-9259
Provider Enumeration Date
05/17/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1400 N Norma St Ste 131
City
Ridgecrest
State
California
Zip
93555-2577
Phone Number
760-463-5059
Fax Number
760-499-9259
person
Provider Business Mailing Address Details
Address
1400 N Norma St Ste 131
City
Ridgecrest
State
California
Zip
93555-2577
Phone Number
760-463-5059
Fax Number
760-499-9259
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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