person
Jeffery Ray Bott
Peer Specialist in San Jose, California
NPI 1023882727

Jeffery Ray Bott is a Peer Specialist based in San Jose, CA. Jeffery Ray Bott practices in San Jose, CA. The NPI Number for Jeffery Ray Bott is 1023882727 and holds a License No. MPSS-IRYJNS (California).

The current practice location address for Jeffery Ray Bott is 298B Bernal Road, San Jose, CA and can be reached out via phone at 408-638-4744.

Location: 298B Bernal Road, San Jose, CA, 95148-1328
person
Provider Profile Details
NPI Number
1023882727
Provider Name
Jeffery Ray Bott
Credential
Provider Entity Type
Individual
Gender
Male
Address
298B Bernal Road, San Jose, CA, 95148-1328
Phone Number
408-638-4744
Fax Number
Provider Enumeration Date
11/13/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
298B Bernal Road
City
State
Zip
95119
Phone Number
408-638-4744
Fax Number
person
Provider Business Mailing Address Details
Address
298B Bernal Road
City
State
Zip
95119
Phone Number
408-638-4744
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
MPSS-IRYJNS (California)
Definition
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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