Individual provider · Type 1 NPI

Jose Ines Mejia Dominguez

Peer Specialist · Riverside, CA

NPI number 1275268088 Active

Practice location

2085 Rustin Ave # 5
Riverside, CA 92507-2498

Fax (951) 509-2405

Mailing address

9890 County Farm Rd Ste 3
Riverside, CA 92503-3678

Other practice locations

  • 9890 County Farm Rd Ste 2, Riverside, CA 92503-3678 · (951) 509-2499

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
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 1275268088

Jose Ines Mejia Dominguez's National Provider Identifier is 1275268088, issued on Jul 18, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Riverside, CA. The record was last updated on Dec 26, 2024.