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Flavia Mytilineos De Souza
Peer Specialist in Fontana, California
NPI 1871274647

Flavia Mytilineos De Souza is a Peer Specialist based in Fontana, CA. Flavia Mytilineos De Souza practices in Fontana, CA. The NPI Number for Flavia Mytilineos De Souza is 1871274647 and holds a License No. (California).

The current practice location address for Flavia Mytilineos De Souza is 4982 St Albert Dr, Fontana, CA and can be reached out via phone at 714-676-6363.

Location: 4982 St Albert Dr, Fontana, CA, 92336-0657
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871274647
Provider Name
Flavia Mytilineos De Souza
Credential
Provider Entity Type
Individual
Gender
Female
Address
4982 St Albert Dr, Fontana, CA, 92336-0657
Phone Number
714-676-6363
Fax Number
Provider Enumeration Date
07/26/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4982 St Albert Dr
City
Fontana
State
California
Zip
92336-0657
Phone Number
714-676-6363
Fax Number
person
Provider Business Mailing Address Details
Address
4982 St Albert Dr
City
Fontana
State
California
Zip
92336-0657
Phone Number
714-676-6363
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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