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Julian De Obsidiana
Peer Specialist in San Diego, California
NPI 1740873728

Julian De Obsidiana is a Peer Specialist based in San Diego, CA. Julian De Obsidiana practices in San Diego, CA. The NPI Number for Julian De Obsidiana is 1740873728 and holds a License No. (California).

The current practice location address for Julian De Obsidiana is 5348 University Ave Ste 108, San Diego, CA and can be reached out via phone at 619-255-7550.

Location: 5348 University Ave Ste 108, San Diego, CA, 92105-8025
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740873728
Provider Name
Julian De Obsidiana
Credential
Provider Entity Type
Individual
Gender
Male
Address
5348 University Ave Ste 108, San Diego, CA, 92105-8025
Phone Number
619-255-7550
Fax Number
Provider Enumeration Date
02/19/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5348 University Ave Ste 108
City
San Diego
State
California
Zip
92105-8025
Phone Number
619-255-7550
Fax Number
person
Provider Business Mailing Address Details
Address
5348 University Ave Ste 108
City
San Diego
State
California
Zip
92105-8025
Phone Number
619-255-7550
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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