Christofer Michael Nicodemus
Christofer Michael Nicodemus is a Peer Specialist in Riverside, California. Licensed in California. Registered with an NPI since 2025.
- Licensed in
- CA
- In the registry since
- 2025
- Specialties on file
- 2
Practice location Address checks out
2085 Rustin Ave Ste 1Riverside, CA 92507-2498
Phone: (951) 955-7320
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Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X · Licence MPSS-ILNQZX (CA) |
|---|---|
| Rehabilitation Practitioner | Taxonomy 225400000X |
Record details
| NPI number | 1417746355 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 6, 2025 |
| Last updated in NPPES | September 9, 2025 |
| Certification date | September 9, 2025 |
| Mailing address | 2085 Rustin Ave Ste 1, Riverside, CA 92507-2498 |
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