Caleb Fanen Ichull-ingya is a peer specialist in San Diego, CA. The provider is 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. Caleb Fanen Ichull-ingya NPI is 1023762804. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
8775 AERO DR STE 132
SAN DIEGO, CA
ZIP 92123-779
Phone: (858) 609-8742
The enumeration date for this NPI number is 2/9/2022 and was last updated on 2/9/2022.