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Leon Samuel Mancilla
Peer Specialist in San Diego, California
NPI 1376140590

Leon Samuel Mancilla is a Peer Specialist based in San Diego, CA. Leon Samuel Mancilla practices in San Diego, CA. The NPI Number for Leon Samuel Mancilla is 1376140590 and holds a License No. (California).

The current practice location address for Leon Samuel Mancilla is 5555 Reservoir Dr, San Diego, CA and can be reached out via phone at 619-822-1800.

Location: 5555 Reservoir Dr, San Diego, CA, 92120-5134
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376140590
Provider Name
Leon Samuel Mancilla
Credential
Provider Entity Type
Individual
Gender
Male
Address
5555 Reservoir Dr, San Diego, CA, 92120-5134
Phone Number
619-822-1800
Fax Number
Provider Enumeration Date
10/01/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5555 Reservoir Dr
City
San Diego
State
California
Zip
92120-5134
Phone Number
619-822-1800
Fax Number
person
Provider Business Mailing Address Details
Address
5555 Reservoir Dr
City
San Diego
State
California
Zip
92120-5134
Phone Number
619-822-1800
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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