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Justin Allen Rucker
Peer Specialist in San Diego, California
NPI 1114641495

Justin Allen Rucker is a Peer Specialist based in San Diego, CA. Justin Allen Rucker practices in San Diego, CA. The NPI Number for Justin Allen Rucker is 1114641495 and holds a License No. (California).

The current practice location address for Justin Allen Rucker is 409 Camino Del Rio S, San Diego, CA and can be reached out via phone at 619-381-7748.

Location: 409 Camino Del Rio S, San Diego, CA, 92108-3504
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114641495
Provider Name
Justin Allen Rucker
Credential
Provider Entity Type
Individual
Gender
Male
Address
409 Camino Del Rio S, San Diego, CA, 92108-3504
Phone Number
619-381-7748
Fax Number
Provider Enumeration Date
09/29/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
409 Camino Del Rio S
City
San Diego
State
California
Zip
92108-3504
Phone Number
619-381-7748
Fax Number
person
Provider Business Mailing Address Details
Address
409 Camino Del Rio S
City
San Diego
State
California
Zip
92108-3504
Phone Number
619-381-7748
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
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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