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MS. KIMBERLEE ANN WALLACE
NPI 1417550435
Peer Specialist in El Cajon, CA

Active since November 20, 2020
1664 BROADWAY, EL CAJON, CA 92021(619) 579-8685 Get Directions Write a Review

NPPES record last updated: November 20, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Kimberlee Ann Wallace NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KIMBERLEE ANN WALLACE (NPI 1417550435) is an individual peer specialist in El Cajon, California and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1417550435
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameMS. KIMBERLEE ANN WALLACE
Location Address1664 BROADWAYEl Cajon, CA 92021-5201
Mailing Address1776 Key LnEl Cajon, CA 92021-1507 · (619) 402-6278
Phone(619) 579-8685
Sole ProprietorYes
Enumeration DateNovember 20, 2020
NPPES CertifiedNovember 20, 2020
✔ NPI 1417550435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
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.
1664 BROADWAY, El Cajon, CA 92021
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Other Names 1

Former Name (1)Miss Kimberlee Ann Linn

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICOLE ANDREA BRADNI
Counselor (Mental Health)
1664 BROADWAY
EL CAJON, CA 92021
San Diego County (619) 579-8685
CLAUDINE GUIBERT ROSA IMFT
Counselor (Mental Health)
1664 BROADWAY
EL CAJON, CA 92021
San Diego County (619) 579-8685
JACQUELINE VIDRIO
Rehabilitation Practitioner
1664 BROADWAY
EL CAJON, CA 92021
San Diego County (619) 579-8685
M'LYNN MONET MARTIN
Rehabilitation Practitioner
1664 BROADWAY
EL CAJON, CA 92021
San Diego County (619) 579-8685
SILONETH MELLISSA ARMAS
Student in an Organized Health Care Education/Training Program
1664 BROADWAY
EL CAJON, CA 92021
San Diego County (619) 579-8685
MONE ROGERS
Recreation Therapist
1664 BROADWAY
EL CAJON, CA 92021
San Diego County (619) 579-8685
JOEL ANCHETA
Student in an Organized Health Care Education/Training Program
1664 BROADWAY
EL CAJON, CA 92021
San Diego County (619) 579-8685
JAMEKA RENEE ROMEY
Student in an Organized Health Care Education/Training Program
1664 BROADWAY, 142
EL CAJON, CA 92021
San Diego County (619) 579-8685

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberlee Wallace's NPI number?

The NPI number for Kimberlee Wallace is 1417550435. It was assigned to this individual provider in the NPPES registry on November 20, 2020. The provider is also known as Miss Kimberlee Ann Linn.

Where is Kimberlee Wallace located?

Kimberlee Wallace practices at 1664 Broadway, El Cajon, CA 92021. The listed phone number is (619) 579-8685.

What is Kimberlee Wallace's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Kimberlee Wallace was last updated on November 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.