RENAE JEFFERSON
NPI 1992104590
Peer Specialist in Stockton, CA
- Individual
- Female
- Peer Specialist
About RENAE JEFFERSON
This page provides the complete NPI Profile along with additional information for Renae Jefferson, a provider established in Stockton, California with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1992104590 assigned on August 2014. The practitioner's primary taxonomy code is 175T00000X with license number MPSS-PWOO12 (CA). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1992104590 Verify this NPI
- Provider Name
- RENAE JEFFERSON
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1212 N CALIFORNIA ST STOCKTON, CA 95202
- Location Phone
- (209) 468-2343
- Mailing Address
- 1212 N CALIFORNIA ST STOCKTON, CA 95202
- Mailing Phone
- (209) 468-2343
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-19-2014
- Last Update Date
- 11-06-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Peer Specialist
- Taxonomy Code
- 175T00000X
- Type
- Other Service Providers
- License No.
- MPSS-PWOO12
- License State
- CA
- Taxonomy Description
- 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.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
STOCKTON, CA 95202
STOCKTON, CA 95202
STOCKTON, CA 95202
STOCKTON, CA 95202
STOCKTON, CA 95202
STOCKTON, CA 95202
STOCKTON, CA 95202
STOCKTON, CA 95202
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1992104590, enumerated as an "individual" on August 19, 2014.
The provider is located at 1212 N CALIFORNIA ST STOCKTON, CA 95202 and the phone number is (209) 468-2343.
Peer Specialist with taxonomy code 175T00000X.
