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Carmelita Wathen
Peer Specialist in San Diego, California
NPI 1679945257

Carmelita Wathen is a Peer Specialist based in San Diego, CA. Carmelita Wathen practices in San Diego, CA. The NPI Number for Carmelita Wathen is 1679945257 and holds a License No. (California).

The current practice location address for Carmelita Wathen is 995 Gateway Center Way, San Diego, CA and can be reached out via phone at 619-398-2156.

Location: 995 Gateway Center Way, San Diego, CA, 92102-4500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679945257
Provider Name
Carmelita Wathen
Credential
Provider Entity Type
Individual
Gender
Female
Address
995 Gateway Center Way, San Diego, CA, 92102-4500
Phone Number
619-398-2156
Fax Number
Provider Enumeration Date
10/22/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
995 Gateway Center Way
City
San Diego
State
California
Zip
92102-4500
Phone Number
619-398-2156
Fax Number
person
Provider Business Mailing Address Details
Address
995 Gateway Center Way
City
San Diego
State
California
Zip
92102-4500
Phone Number
619-398-2156
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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