Jose De Jesus Villa IV, PEERSUPPORT
Jose De Jesus Villa IV, PEERSUPPORT is a Peer Specialist in San Diego, California. Licensed in California. Registered with an NPI since 2025.
- Licensed in
- CA
- In the registry since
- 2025
- Specialties on file
- 2
Practice location Address checks out
1963 4th AveSan Diego, CA 92101-2394
Phone: (619) 233-3432
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X · Licence MPSS-USVMKC (CA) |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence R1498920323 (CA) |
Record details
| NPI number | 1528878287 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PEERSUPPORT |
| Sole proprietor | No |
| NPI enumerated | January 13, 2025 |
| Last updated in NPPES | June 2, 2026 |
| Certification date | June 2, 2026 |
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