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Anthony John Beaver
Peer Specialist in Garden Grove, California
NPI 1982365821

Anthony John Beaver is a Peer Specialist based in Garden Grove, CA. Anthony John Beaver practices in Garden Grove, CA. The NPI Number for Anthony John Beaver is 1982365821 and holds a License No. MPSS-BZAHOQ (California).

The current practice location address for Anthony John Beaver is 12141 Brookhurst St Ste 201, Garden Grove, CA and can be reached out via phone at 657-261-7140.

Location: 12141 Brookhurst St Ste 201, Garden Grove, CA, 92840-2865
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982365821
Provider Name
Anthony John Beaver
Credential
Provider Entity Type
Individual
Gender
Male
Address
12141 Brookhurst St Ste 201, Garden Grove, CA, 92840-2865
Phone Number
657-261-7140
Fax Number
Provider Enumeration Date
01/03/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12141 Brookhurst St Ste 201
City
Garden Grove
State
California
Zip
92840-2865
Phone Number
657-261-7140
Fax Number
person
Provider Business Mailing Address Details
Address
12141 Brookhurst St Ste 201
City
Garden Grove
State
California
Zip
92840-2865
Phone Number
657-261-7140
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
MPSS-BZAHOQ (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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