Individual
DIANA JAQUELINE GARCIA OLEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1161 BAY BLVD STE B, CHULA VISTA, CA 91911-2670
(619) 585-7686
Mailing address
1161 BAY BLVD STE B, CHULA VISTA, CA 91911-2670
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
172V00000X
Community Health Worker
—
CA
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
MPSS-ODZPBE
CA
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
01/12/2022
Last updated
03/26/2025
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