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Jamal Tyrone Ledet-travis
Peer Specialist in Santee, California
NPI 1194288118

Jamal Tyrone Ledet-travis is a Peer Specialist based in San Diego, CA. Jamal Tyrone Ledet-travis practices in Santee, CA. The NPI Number for Jamal Tyrone Ledet-travis is 1194288118 and holds a License No. (California).

The current practice location address for Jamal Tyrone Ledet-travis is 10201 Mission Gorge Rd, Santee, CA and can be reached out via phone at 619-383-6868.

Location: 10201 Mission Gorge Rd, Santee, CA, 92102-3730
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194288118
Provider Name
Jamal Tyrone Ledet-travis
Credential
Provider Entity Type
Individual
Gender
Male
Address
10201 Mission Gorge Rd, Santee, CA, 92102-3730
Phone Number
619-383-6868
Fax Number
Provider Enumeration Date
04/08/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10201 Mission Gorge Rd
City
Santee
State
California
Zip
92071-3027
Phone Number
619-383-6868
Fax Number
person
Provider Business Mailing Address Details
Address
10201 Mission Gorge Rd
City
Santee
State
California
Zip
92071-3027
Phone Number
619-383-6868
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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