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Matthew Jesse Mejia
Student in an Organized Health Care Education/Training Program in Stockton, California
NPI 1154701027

Matthew Jesse Mejia is a Student in an Organized Health Care Education/Training Program based in Stockton, CA. Matthew Jesse Mejia practices in Stockton, CA. The NPI Number for Matthew Jesse Mejia is 1154701027 and holds a License No. (California).

The current practice location address for Matthew Jesse Mejia is 1212 N California St, Stockton, CA and can be reached out via phone at 209-468-8641.

Location: 1212 N California St, Stockton, CA, 95202-1552
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154701027
Provider Name
Matthew Jesse Mejia
Credential
Provider Entity Type
Individual
Gender
Male
Address
1212 N California St, Stockton, CA, 95202-1552
Phone Number
209-468-8641
Fax Number
Provider Enumeration Date
06/04/2015
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
946000531 05 CA
institution
Provider Business Practice Location Address Details
Address
1212 N California St
City
Stockton
State
California
Zip
95202-1552
Phone Number
209-468-8641
Fax Number
person
Provider Business Mailing Address Details
Address
1212 N California St
City
Stockton
State
California
Zip
95202-1552
Phone Number
209-468-8641
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
MPSS-BZUFIX (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.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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