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Casper S Wilson
Peer Specialist in Lemon Grove, California
NPI 1689440026

Casper S Wilson is a Peer Specialist based in El Cajon, CA. Casper S Wilson practices in Lemon Grove, CA. The NPI Number for Casper S Wilson is 1689440026 and holds a License No. 0000000000 (California).

The current practice location address for Casper S Wilson is 2049 Skyline Dr, Lemon Grove, CA and can be reached out via phone at 000-000-0000.

Location: 2049 Skyline Dr, Lemon Grove, CA, 92020-1651
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689440026
Provider Name
Casper S Wilson
Credential
Provider Entity Type
Individual
Gender
Female
Address
2049 Skyline Dr, Lemon Grove, CA, 92020-1651
Phone Number
000-000-0000
Fax Number
Provider Enumeration Date
11/28/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2049 Skyline Dr
City
Lemon Grove
State
California
Zip
91945-4221
Phone Number
000-000-0000
Fax Number
person
Provider Business Mailing Address Details
Address
2049 Skyline Dr
City
Lemon Grove
State
California
Zip
91945-4221
Phone Number
000-000-0000
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
0000000000 (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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