Individual provider · Type 1 NPI

Kandace Michaele Ellis-Burnett, BA

Peer Specialist · San Diego, CA

NPI number 1215270889 Active

Practice location

3148 Midway Dr Ste 113
San Diego, CA 92110-4539

Call (619) 363-0853 Map

Fax (619) 362-9905

Mailing address

8910 Clairemont Mesa Blvd
San Diego, CA 92123-1104

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: 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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About NPI 1215270889

Kandace Michaele Ellis-Burnett, BA's National Provider Identifier is 1215270889, issued on Apr 2, 2013. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in San Diego, CA. The record was last updated on May 5, 2022.