MATTHEW MARK CONNOLLY NPI 1548868169

NPI Information

Matthew Mark Connolly is a peer specialist in Lake Elsinore, CA. The provider is 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. Matthew Mark Connolly NPI is 1548868169. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

31946 MISSION TRL STE B
LAKE ELSINORE, CA
ZIP 92530-539
Phone: (951) 471-4300
Fax: (951) 674-6431

The enumeration date for this NPI number is 10/15/2020 and was last updated on 7/21/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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