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Mr. Stephen Gilligan Tull
Peer Specialist in San Jose, California
NPI 1720526601

Stephen Gilligan Tull is a Peer Specialist based in San Jose, CA. Stephen Gilligan Tull practices in San Jose, CA. The NPI Number for Stephen Gilligan Tull is 1720526601 and holds a License No. (California).

The current practice location address for Stephen Gilligan Tull is 86 S 14Th St, San Jose, CA and can be reached out via phone at 408-510-7080.

Location: 86 S 14Th St, San Jose, CA, 95126-1136
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720526601
Provider Name
Stephen Gilligan Tull
Credential
Provider Entity Type
Individual
Gender
Male
Address
86 S 14Th St, San Jose, CA, 95126-1136
Phone Number
408-510-7080
Fax Number
Provider Enumeration Date
02/10/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
86 S 14Th St
City
San Jose
State
California
Zip
95112-2015
Phone Number
408-510-7080
Fax Number
person
Provider Business Mailing Address Details
Address
86 S 14Th St
City
San Jose
State
California
Zip
95112-2015
Phone Number
408-510-7080
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
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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