Individual provider · Type 1 NPI

Matthew Mark Connolly

Peer Specialist · Lake Elsinore, CA

NPI number 1548868169 Active

Practice location

31946 Mission Trl Ste B
Lake Elsinore, CA 92530-4539

Call (951) 471-4300 Map

Fax (951) 674-6431

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 1548868169

Matthew Mark Connolly's National Provider Identifier is 1548868169, issued on Oct 15, 2020. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Lake Elsinore, CA. The record was last updated on Jul 21, 2021.