Individual provider · Type 1 NPI

Cleveland Eugene Gardner Iii

Peer Specialist · San Diego, CA

NPI number 1831633189 Active

Practice location

3132 Jefferson St
San Diego, CA 92110-4421

Call (619) 683-3100 Map

Other practice locations

  • 4266 37th St, San Diego, CA 92105-1001 · (858) 285-9824

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Peer Specialist Primary 175T00000XMPSS-TWDEFS (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.

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About NPI 1831633189

Cleveland Eugene Gardner Iii's National Provider Identifier is 1831633189, issued on Dec 6, 2016. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in San Diego, CA. The record was last updated on Feb 2, 2026.