Individual provider · Type 1 NPI

Christofer Michael Nicodemus

Peer Specialist · Riverside, CA

NPI number 1417746355 Active

Practice location

2085 Rustin Ave Ste 1
Riverside, CA 92507-2498

Call (951) 955-7320 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XMPSS-ILNQZX (CA)
Rehabilitation Practitioner 225400000XNone 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 1417746355

Christofer Michael Nicodemus's National Provider Identifier is 1417746355, issued on May 6, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Riverside, CA. The record was last updated on Sep 9, 2025.