Individual
MISS MARGARITA MARIA BAEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PEER SPECIALIST
Contact information
Practice address
1222 ATWATER ST., SAN DIEGO, CA 92154
(619) 947-3360
Mailing address
1222 ATWATER ST, SAN DIEGO, CA 92154-2705
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
MPSS-EXTNDU
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MPSS-EXTNDU
—
CA
Enumeration date
04/05/2010
Last updated
06/01/2023
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