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Marisa Lynn Tavolazzi
Peer Specialist in El Cajon, California
NPI 1952958043

Marisa Lynn Tavolazzi is a Peer Specialist based in El Cajon, CA. Marisa Lynn Tavolazzi practices in El Cajon, CA. The NPI Number for Marisa Lynn Tavolazzi is 1952958043 and holds a License No. (California).

The current practice location address for Marisa Lynn Tavolazzi is 1664 Broadway, El Cajon, CA and can be reached out via phone at 619-579-8685.

Location: 1664 Broadway, El Cajon, CA, 92021-5201
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952958043
Provider Name
Marisa Lynn Tavolazzi
Credential
Provider Entity Type
Individual
Gender
Female
Address
1664 Broadway, El Cajon, CA, 92021-5201
Phone Number
619-579-8685
Fax Number
Provider Enumeration Date
08/22/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1664 Broadway
City
El Cajon
State
California
Zip
92021-5201
Phone Number
619-579-8685
Fax Number
person
Provider Business Mailing Address Details
Address
1664 Broadway
City
El Cajon
State
California
Zip
92021-5201
Phone Number
619-579-8685
Fax Number
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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