Individual provider · Type 1 NPI

Leon Samuel Mancilla

Peer Specialist · San Diego, CA

NPI number 1376140590 Active

Practice location

5555 Reservoir Dr
San Diego, CA 92120-5134

Call (619) 822-1800 Map

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 1376140590

Leon Samuel Mancilla's National Provider Identifier is 1376140590, issued on Oct 1, 2020. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in San Diego, CA. The record was last updated on Oct 1, 2020.