Jack Douglas Lockhart
Jack Douglas Lockhart is a Peer Specialist in San Diego, California. Licensed in California. Registered with an NPI since 2017.
- Licensed in
- CA
- In the registry since
- 2017
Practice location Address checks out
10717 Camino Ruiz Ste 207San Diego, CA 92126-2364
Phone: (858) 695-2211
Fax: (858) 695-3521
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Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X · Licence MPSS-CWYSEG (CA) |
|---|
Record details
| NPI number | 1518481993 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 27, 2017 |
| Last updated in NPPES | February 22, 2024 |
| Certification date | February 22, 2024 |
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