Matthew Mark Connolly
Matthew Mark Connolly is a Peer Specialist in Lake Elsinore, California. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
31946 Mission Trl Ste BLake Elsinore, CA 92530-4539
Phone: (951) 471-4300
Fax: (951) 674-6431
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1548868169 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 15, 2020 |
| Last updated in NPPES | July 21, 2021 |
| Certification date | July 21, 2021 |
| Mailing address | 31946 Mission Trl Ste B, Lake Elsinore, CA 92530-4539 |
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