Individual provider · Type 1 NPI

Camille Buckallew

Peer Specialist · Chula Vista, CA

NPI number 1730846932 Active

Practice location

730 Medical Center Ct
Chula Vista, CA 91911-6618

Mailing address

10662 Canyon Lake Dr
San Diego, CA 92131-1266

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Counselor 101Y00000XNone listed
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 1730846932

Camille Buckallew's National Provider Identifier is 1730846932, issued on Nov 22, 2021. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Chula Vista, CA. The record was last updated on Jun 16, 2023.