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Mr. Justice Renaissance, MHRS
Peer Specialist in San Jose, California
NPI 1992878326

Justice Renaissance is a Peer Specialist based in Campbell, CA. Justice Renaissance practices in San Jose, CA and has the professional credentials of MHRS. The NPI Number for Justice Renaissance is 1992878326 and holds a License No. (California).

The current practice location address for Justice Renaissance is 232 E Gish Rd, San Jose, CA and can be reached out via phone at 408-379-3790. You can also correspond with Justice Renaissance through the mailing address at 251 LLEWELLYN AVE, CAMPBELL, CA - 95008-1940 (mailing address contact number: 408-379-3790).

Location: 232 E Gish Rd, San Jose, CA, 95008-1940
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992878326
Provider Name
Justice Renaissance
Credential
MHRS
Provider Entity Type
Individual
Gender
Male
Address
232 E Gish Rd, San Jose, CA, 95008-1940
Phone Number
408-379-3790
Fax Number
Provider Enumeration Date
11/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
COUNTY ID 01 CA 3497
institution
Provider Business Practice Location Address Details
Address
232 E Gish Rd
City
San Jose
State
California
Zip
95112-4706
Phone Number
408-379-3790
Fax Number
person
Provider Business Mailing Address Details
Address
251 Llewellyn Ave
City
Campbell
State
California
Zip
95008-1940
Phone Number
408-379-3790
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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