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Lei Portugal Calloway
Peer Specialist in Santa Ana, California
NPI 1154647170

Lei Portugal Calloway is a Peer Specialist based in Santa Ana, CA. Lei Portugal Calloway practices in Santa Ana, CA. The NPI Number for Lei Portugal Calloway is 1154647170 and holds a License No. (California).

The current practice location address for Lei Portugal Calloway is 615 W Civic Center Dr Ste 200, Santa Ana, CA and can be reached out via phone at 714-795-3444. You can also correspond with Lei Portugal Calloway through the mailing address at 615 W CIVIC CENTER DR STE 200, SANTA ANA, CA - 92701-4052 (mailing address contact number: 714-795-3444).

Location: 615 W Civic Center Dr Ste 200, Santa Ana, CA, 92701-4052
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154647170
Provider Name
Lei Portugal Calloway
Credential
Provider Entity Type
Individual
Gender
Female
Address
615 W Civic Center Dr Ste 200, Santa Ana, CA, 92701-4052
Phone Number
714-795-3444
Fax Number
Provider Enumeration Date
04/15/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
615 W Civic Center Dr Ste 200
City
Santa Ana
State
California
Zip
92701-4052
Phone Number
714-795-3444
Fax Number
person
Provider Business Mailing Address Details
Address
615 W Civic Center Dr Ste 200
City
Santa Ana
State
California
Zip
92701-4052
Phone Number
714-795-3444
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
TQGHCEAMIDJRPKSN (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
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.
person
Provider's Taxonomy Details 3
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
()
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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