Vincent Casillas
Peer Specialist in Perris, CA. Individual provider (NPI-1).
NPI number1124890280
StatusActive
Last updated in NPPESJan 4, 2024
Details
- NPI
- 1124890280
- Entity type
- Individual (NPI-1)
- Name
- Vincent Casillas
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 23, 2023
- Certification date
- Jan 4, 2024
- Last updated
- Jan 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | CA | Yes |
| 172V00000X | Community Health Worker | – | – |
Practice location
450 E San Jacinto AvePerris, CA 92571-2833
Phone 951-715-5040
Mailing address
450 E San Jacinto AvePerris, CA 92571-2833
Phone 951-715-5040
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All 62 Peer Specialist providers in Perris · All 1,122 providers in Perris
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