Individual provider · Type 1 NPI

Jacob Paul Gallardofox

Peer Specialist · Perris, CA

NPI number 1194438671 Active

Practice location

450 E San Jacinto Ave
Perris, CA 92571-2833

Call (951) 443-2299 Map

Mailing address

44090 Karie Way
Temecula, CA 92592-1464

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: 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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About NPI 1194438671

Jacob Paul Gallardofox's National Provider Identifier is 1194438671, issued on Dec 29, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Perris, CA. The record was last updated on Dec 29, 2022.