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Donterris Rogers, PEERSUPPORT
Peer Specialist in San Diego, California
NPI 1447848908

Donterris Rogers is a Peer Specialist based in San Diego, CA. Donterris Rogers practices in San Diego, CA and has the professional credentials of PEERSUPPORT. The NPI Number for Donterris Rogers is 1447848908 and holds a License No. F4686499 (California).

The current practice location address for Donterris Rogers is 2865 Logan Ave, San Diego, CA and can be reached out via phone at 619-232-4357.

Location: 2865 Logan Ave, San Diego, CA, 92113-2411
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447848908
Provider Name
Donterris Rogers
Credential
PEERSUPPORT
Provider Entity Type
Individual
Gender
Male
Address
2865 Logan Ave, San Diego, CA, 92113-2411
Phone Number
619-232-4357
Fax Number
Provider Enumeration Date
01/08/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2865 Logan Ave
City
San Diego
State
California
Zip
92113-2411
Phone Number
619-232-4357
Fax Number
person
Provider Business Mailing Address Details
Address
2865 Logan Ave
City
San Diego
State
California
Zip
92113-2411
Phone Number
619-232-4357
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
F4686499 (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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