Individual provider · Type 1 NPI
Jennifer Lynn Malone
Peer Specialist · Fontana, CA
NPI number
1275199770
Active
Practice location
14677 Merrall Ave
Fontana, CA 92335
Mailing address
9828 Yucaipa Ridge Rd
Yucaipa, CA 92399-2971
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | None 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 1275199770
Jennifer Lynn Malone's National Provider Identifier is 1275199770, issued on May 10, 2019. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Fontana, CA. The record was last updated on May 10, 2019.