Individual provider · Type 1 NPI

Anthony Lackey

Peer Specialist · San Diego, CA

NPI number 1629980305 Active

Practice location

5855 Streamview Dr
San Diego, CA 92105-3910

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XMPSS-EYKSMO (CA)

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.

24 other providers at this address

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About NPI 1629980305

Anthony Lackey's National Provider Identifier is 1629980305, issued on Sep 18, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in San Diego, CA. The record was last updated on Sep 18, 2026.