Caleb Fanen Ichull-Ingya
Caleb Fanen Ichull-Ingya is a Peer Specialist in San Diego, California. Licensed in California. Registered with an NPI since 2022.
- Licensed in
- CA
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
8775 Aero Dr Ste 132San Diego, CA 92123-1779
Phone: (858) 609-8742
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X (CA) |
|---|---|
| Peer Specialist | Taxonomy 175T00000X |
Record details
| NPI number | 1023762804 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 9, 2022 |
| Last updated in NPPES | March 27, 2023 |
| Certification date | September 28, 2022 |
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