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Mr. Cleveland Eugene Gardner III
Peer Specialist in San Diego, California
NPI 1831633189

Cleveland Eugene Gardner III is a Peer Specialist based in San Diego, CA. Cleveland Eugene Gardner III practices in San Diego, CA. The NPI Number for Cleveland Eugene Gardner III is 1831633189 and holds a License No. (California).

The current practice location address for Cleveland Eugene Gardner III is 4283 El Cajon Blvd Ste 115, San Diego, CA and can be reached out via phone at 619-521-1743.

Location: 4283 El Cajon Blvd Ste 115, San Diego, CA, 92105-1001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831633189
Provider Name
Cleveland Eugene Gardner III
Credential
Provider Entity Type
Individual
Gender
Male
Address
4283 El Cajon Blvd Ste 115, San Diego, CA, 92105-1001
Phone Number
619-521-1743
Fax Number
Provider Enumeration Date
12/06/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4283 El Cajon Blvd Ste 115
City
San Diego
State
California
Zip
92105-1289
Phone Number
619-521-1743
Fax Number
person
Provider Business Mailing Address Details
Address
4283 El Cajon Blvd Ste 115
City
San Diego
State
California
Zip
92105-1289
Phone Number
619-521-1743
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
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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