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Kimani Sekou Lane
Peer Specialist in San Diego, California
NPI 1588346803

Kimani Sekou Lane is a Peer Specialist based in San Diego, CA. Kimani Sekou Lane practices in San Diego, CA. The NPI Number for Kimani Sekou Lane is 1588346803 and holds a License No. (California).

The current practice location address for Kimani Sekou Lane is 2970 Market St, San Diego, CA and can be reached out via phone at 619-236-9492.

Location: 2970 Market St, San Diego, CA, 92102-3296
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588346803
Provider Name
Kimani Sekou Lane
Credential
Provider Entity Type
Individual
Gender
Male
Address
2970 Market St, San Diego, CA, 92102-3296
Phone Number
619-236-9492
Fax Number
Provider Enumeration Date
08/04/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2970 Market St
City
San Diego
State
California
Zip
92102-3296
Phone Number
619-236-9492
Fax Number
person
Provider Business Mailing Address Details
Address
2970 Market St
City
San Diego
State
California
Zip
92102-3296
Phone Number
619-236-9492
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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