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Solomon Ezekiel Perez, BA
Peer Specialist in San Diego, California
NPI 1558872739

Solomon Ezekiel Perez is a Peer Specialist based in San Diego, CA. Solomon Ezekiel Perez practices in San Diego, CA and has the professional credentials of BA. The NPI Number for Solomon Ezekiel Perez is 1558872739 and holds a License No. (California).

The current practice location address for Solomon Ezekiel Perez is 3539 College Ave, San Diego, CA and can be reached out via phone at 619-818-3788.

Location: 3539 College Ave, San Diego, CA, 92102-2102
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558872739
Provider Name
Solomon Ezekiel Perez
Credential
BA
Provider Entity Type
Individual
Gender
Male
Address
3539 College Ave, San Diego, CA, 92102-2102
Phone Number
619-818-3788
Fax Number
Provider Enumeration Date
10/16/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3704 05 CA
institution
Provider Business Practice Location Address Details
Address
3539 College Ave
City
San Diego
State
California
Zip
92115-7032
Phone Number
619-818-3788
Fax Number
person
Provider Business Mailing Address Details
Address
3539 College Ave
City
San Diego
State
California
Zip
92115-7032
Phone Number
619-818-3788
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
(California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(California)
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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