person
Lisa Yvonne Gomez-legarda
Peer Specialist in San Jose, California
NPI 1902540024

Lisa Yvonne Gomez-legarda is a Peer Specialist based in San Jose, CA. Lisa Yvonne Gomez-legarda practices in San Jose, CA. The NPI Number for Lisa Yvonne Gomez-legarda is 1902540024 and holds a License No. (California).

The current practice location address for Lisa Yvonne Gomez-legarda is 1144 S 2Nd St Ste 110, San Jose, CA and can be reached out via phone at 669-200-1540 and via fax at 408-477-2185.

Location: 1144 S 2Nd St Ste 110, San Jose, CA, 95112-5974
person
Provider Profile Details
NPI Number
1902540024
Provider Name
Lisa Yvonne Gomez-legarda
Credential
Provider Entity Type
Individual
Gender
Female
Address
1144 S 2Nd St Ste 110, San Jose, CA, 95112-5974
Phone Number
669-200-1540
Fax Number
408-477-2185
Provider Enumeration Date
04/25/2022
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
1144 S 2Nd St Ste 110
City
State
Zip
95112-5974
Phone Number
669-200-1540
Fax Number
408-477-2185
person
Provider Business Mailing Address Details
Address
1144 S 2Nd St Ste 110
City
State
Zip
95112-5974
Phone Number
669-200-1540
Fax Number
408-477-2185
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
MPSS-ZMTSJR (California)
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
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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