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Renae Jefferson
Peer Specialist in Stockton, California
NPI 1992104590

Renae Jefferson is a Peer Specialist based in Stockton, CA. Renae Jefferson practices in Stockton, CA. The NPI Number for Renae Jefferson is 1992104590 and holds a License No. MPSS-PWOO12 (California).

The current practice location address for Renae Jefferson is 1212 N California St, Stockton, CA and can be reached out via phone at 209-468-2343.

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
1992104590
Provider Name
Renae Jefferson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1212 N California St, Stockton, CA, 95202-1552
Phone Number
209-468-2343
Fax Number
Provider Enumeration Date
08/19/2014
Last Update Date
11/16/2024
institution
Provider Business Practice Location Address Details
Address
1212 N California St
City
Stockton
State
California
Zip
95202-1552
Phone Number
209-468-2343
Fax Number
person
Provider Business Mailing Address Details
Address
1212 N California St
City
Stockton
State
California
Zip
95202-1552
Phone Number
209-468-2343
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
MPSS-PWOO12 (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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