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Clarence Martin SR.
Peer Specialist in San Diego, California
NPI 1689361685

Clarence Martin SR. is a Peer Specialist based in San Diego, CA. Clarence Martin SR. practices in San Diego, CA. The NPI Number for Clarence Martin SR. is 1689361685 and holds a License No. (California).

The current practice location address for Clarence Martin SR. is 5400 Kearny Mesa Rd, San Diego, CA and can be reached out via phone at 619-717-2363.

Location: 5400 Kearny Mesa Rd, San Diego, CA, 92111-1303
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689361685
Provider Name
Clarence Martin SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
5400 Kearny Mesa Rd, San Diego, CA, 92111-1303
Phone Number
619-717-2363
Fax Number
Provider Enumeration Date
04/19/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5400 Kearny Mesa Rd
City
San Diego
State
California
Zip
92111-1303
Phone Number
619-717-2363
Fax Number
person
Provider Business Mailing Address Details
Address
5400 Kearny Mesa Rd
City
San Diego
State
California
Zip
92111-1303
Phone Number
619-717-2363
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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