JACK DOUGLAS LOCKHART NPI 1518481993

NPI Information

Jack Douglas Lockhart 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. Jack Douglas Lockhart NPI is 1518481993. 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:

10717 CAMINO RUIZ STE 207
SAN DIEGO, CA
ZIP 92126-364
Phone: (858) 695-2211
Fax: (858) 695-3521

The enumeration date for this NPI number is 7/27/2017 and was last updated on 7/28/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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