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Ms. Kimberlee Ann Wallace
Peer Specialist in El Cajon, California
NPI 1417550435

Kimberlee Ann Wallace is a Peer Specialist based in El Cajon, CA. Kimberlee Ann Wallace practices in El Cajon, CA. The NPI Number for Kimberlee Ann Wallace is 1417550435 and holds a License No. (California).

The current practice location address for Kimberlee Ann Wallace is 1664 Broadway, El Cajon, CA and can be reached out via phone at 619-579-8685. You can also correspond with Kimberlee Ann Wallace through the mailing address at 1776 KEY LN, EL CAJON, CA - 92021-1507 (mailing address contact number: 619-402-6278).

Location: 1664 Broadway, El Cajon, CA, 92021-1507
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417550435
Provider Name
Kimberlee Ann Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
1664 Broadway, El Cajon, CA, 92021-1507
Phone Number
619-579-8685
Fax Number
Provider Enumeration Date
11/20/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1664 Broadway
City
El Cajon
State
California
Zip
92021-5201
Phone Number
619-579-8685
Fax Number
person
Provider Business Mailing Address Details
Address
1664 Broadway
City
El Cajon
State
California
Zip
92021-5201
Phone Number
619-579-8685
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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