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Jude Ethen Patron-martinez
Peer Specialist in Garden Grove, California
NPI 1801264445

Jude Ethen Patron-martinez is a Peer Specialist based in Garden Grove, CA. Jude Ethen Patron-martinez practices in Garden Grove, CA. The NPI Number for Jude Ethen Patron-martinez is 1801264445 and holds a License No. MPSS-NLJWRV (California).

The current practice location address for Jude Ethen Patron-martinez is 12141 Brookhurst St Ste 101, Garden Grove, CA and can be reached out via phone at 714-296-1934.

Location: 12141 Brookhurst St Ste 101, Garden Grove, CA, 92840-2865
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801264445
Provider Name
Jude Ethen Patron-martinez
Credential
Provider Entity Type
Individual
Gender
Male
Address
12141 Brookhurst St Ste 101, Garden Grove, CA, 92840-2865
Phone Number
714-296-1934
Fax Number
Provider Enumeration Date
09/14/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12141 Brookhurst St Ste 101
City
Garden Grove
State
California
Zip
92840-2865
Phone Number
714-296-1934
Fax Number
person
Provider Business Mailing Address Details
Address
12141 Brookhurst St Ste 101
City
Garden Grove
State
California
Zip
92840-2865
Phone Number
714-296-1934
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
MPSS-NLJWRV (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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