MARDY CHHUN - NPI 1770031080 - Peer Specialist in San Diego, CA

Q: What is the provider's specialty?

The provider's specialty is Peer Specialist with taxonomy code 175T00000X.

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About Mardy Chhun NPPES

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

MARDY CHHUN (NPI 1770031080) is an individual peer specialist in San Diego, California and active in the NPI registry since September 2016. He maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1770031080

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameMARDY CHHUN

Location Address4283 EL CAJON BLVD STE 100San Diego, CA 92105-1289

Mailing Address9465 Farnham St # 92123San Diego, CA 92123-1308 · (858) 573-2600

Phone(619) 521-1743

Sole ProprietorYes

Enumeration DateSeptember 15, 2016

Last NPPES UpdateAugust 3, 2023

NPPES CertifiedAugust 3, 2023

✔ NPI 1770031080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

4283 EL CAJON BLVD STE 100, San Diego, CA 92105

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