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Benny Lee Weatherspoon III
Peer Specialist in San Diego, California
NPI 1942855374

Benny Lee Weatherspoon III is a Peer Specialist based in San Diego, CA. Benny Lee Weatherspoon III practices in San Diego, CA. The NPI Number for Benny Lee Weatherspoon III is 1942855374 and holds a License No. (California).

The current practice location address for Benny Lee Weatherspoon III is 995 Gateway Center Way Ste 300, San Diego, CA and can be reached out via phone at 619-398-2156 and via fax at 619-398-2168.

Location: 995 Gateway Center Way Ste 300, San Diego, CA, 92102-4550
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942855374
Provider Name
Benny Lee Weatherspoon III
Credential
Provider Entity Type
Individual
Gender
Male
Address
995 Gateway Center Way Ste 300, San Diego, CA, 92102-4550
Phone Number
619-398-2156
Fax Number
619-398-2168
Provider Enumeration Date
08/02/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
995 Gateway Center Way Ste 300
City
San Diego
State
California
Zip
92102-4550
Phone Number
619-398-2156
Fax Number
619-398-2168
person
Provider Business Mailing Address Details
Address
995 Gateway Center Way Ste 300
City
San Diego
State
California
Zip
92102-4550
Phone Number
619-398-2156
Fax Number
619-398-2168
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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