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Leticia Gonzales Olguin, INTERN
Peer Specialist in San Diego, California
NPI 1871837534

Leticia Gonzales Olguin is a Peer Specialist based in San Diego, CA. Leticia Gonzales Olguin practices in San Diego, CA and has the professional credentials of INTERN. The NPI Number for Leticia Gonzales Olguin is 1871837534 and holds a License No. MPSS-XMEAUQ (California).

The current practice location address for Leticia Gonzales Olguin is 6154 Mission Gorge Rd Ste 120, San Diego, CA and can be reached out via phone at 619-277-6666.

Location: 6154 Mission Gorge Rd Ste 120, San Diego, CA, 92120-3435
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871837534
Provider Name
Leticia Gonzales Olguin
Credential
INTERN
Provider Entity Type
Individual
Gender
Female
Address
6154 Mission Gorge Rd Ste 120, San Diego, CA, 92120-3435
Phone Number
619-277-6666
Fax Number
Provider Enumeration Date
11/19/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6154 Mission Gorge Rd Ste 120
City
San Diego
State
California
Zip
92120-3435
Phone Number
619-277-6666
Fax Number
person
Provider Business Mailing Address Details
Address
6154 Mission Gorge Rd Ste 120
City
San Diego
State
California
Zip
92120-3435
Phone Number
619-277-6666
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
MPSS-XMEAUQ (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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