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Ms. Latisha Inez Suleiman, MPSS-GQLUBF
Peer Specialist in Ontario, California
NPI 1669652467

Latisha Inez Suleiman is a Peer Specialist based in Ontario, CA. Latisha Inez Suleiman practices in Ontario, CA and has the professional credentials of MPSS-GQLUBF. The NPI Number for Latisha Inez Suleiman is 1669652467 and holds a License No. (California).

The current practice location address for Latisha Inez Suleiman is 316 E E St, Ontario, CA and can be reached out via phone at 909-983-4466 and via fax at 909-983-1166.

Location: 316 E E St, Ontario, CA, 91764-3712
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669652467
Provider Name
Latisha Inez Suleiman
Credential
MPSS-GQLUBF
Provider Entity Type
Individual
Gender
Female
Address
316 E E St, Ontario, CA, 91764-3712
Phone Number
909-983-4466
Fax Number
909-983-1166
Provider Enumeration Date
11/08/2007
Last Update Date
01/18/2025
institution
Provider Business Practice Location Address Details
Address
316 E E St
City
Ontario
State
California
Zip
91764-3712
Phone Number
909-983-4466
Fax Number
909-983-1166
person
Provider Business Mailing Address Details
Address
316 E E St
City
Ontario
State
California
Zip
91764-3712
Phone Number
909-983-4466
Fax Number
909-983-1166
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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