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Kathy Wooldridge
Peer Specialist in San Diego, California
NPI 1932641461

Kathy Wooldridge is a Peer Specialist based in San Diego, CA. Kathy Wooldridge practices in San Diego, CA. The NPI Number for Kathy Wooldridge is 1932641461 and holds a License No. MPSS-WFPIVA (California).

The current practice location address for Kathy Wooldridge is 6060 Mission Gorge Rd # 108, San Diego, CA and can be reached out via phone at 619-481-5200.

Location: 6060 Mission Gorge Rd # 108, San Diego, CA, 92111-5725
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932641461
Provider Name
Kathy Wooldridge
Credential
Provider Entity Type
Individual
Gender
Female
Address
6060 Mission Gorge Rd # 108, San Diego, CA, 92111-5725
Phone Number
619-481-5200
Fax Number
Provider Enumeration Date
11/15/2016
Last Update Date
10/19/2024
institution
Provider Business Practice Location Address Details
Address
6060 Mission Gorge Rd # 108
City
San Diego
State
California
Zip
92120-4008
Phone Number
619-481-5200
Fax Number
person
Provider Business Mailing Address Details
Address
6060 Mission Gorge Rd # 108
City
San Diego
State
California
Zip
92120-4008
Phone Number
619-481-5200
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
MPSS-WFPIVA (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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