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Okeke Kevin Bazemore
Peer Specialist in San Diego, California
NPI 1982240818

Okeke Kevin Bazemore is a Peer Specialist based in San Diego, CA. Okeke Kevin Bazemore practices in San Diego, CA. The NPI Number for Okeke Kevin Bazemore is 1982240818 and holds a License No. (California).

The current practice location address for Okeke Kevin Bazemore is 4390 Naples Street, San Diego, CA and can be reached out via phone at 619-276-1176.

Location: 4390 Naples Street, San Diego, CA, 92110-3820
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982240818
Provider Name
Okeke Kevin Bazemore
Credential
Provider Entity Type
Individual
Gender
Male
Address
4390 Naples Street, San Diego, CA, 92110-3820
Phone Number
619-276-1176
Fax Number
Provider Enumeration Date
11/26/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4390 Naples Street
City
San Diego
State
California
Zip
92110
Phone Number
619-276-1176
Fax Number
person
Provider Business Mailing Address Details
Address
4390 Naples Street
City
San Diego
State
California
Zip
92110
Phone Number
619-276-1176
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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