LARRY ALLEN JEAN NPI 1790127728

NPI Information

  • NPI: 1790127728
  • Provider Name: LARRY ALLEN JEAN
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Individual
  • Address: 3230 KERNER BLVD
    SAN RAFAEL, CA
    ZIP 94901
  • Phone: (415) 847-3209

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NPI Details

Larry Allen Jean is a peer specialist in San Rafael, CA. The provider is 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. Larry Allen Jean NPI is 1790127728. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3230 KERNER BLVD
SAN RAFAEL, CA
ZIP 94901-840
Phone: (415) 847-3209

The enumeration date for this NPI number is 7/18/2013 and was last updated on 4/12/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1175T00000XPeer SpecialistCALIFORNIAYes
2172V00000XCommunity Health WorkerNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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