Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Larry Allen Jean

Individual provider Peer Specialist · NPI 1790127728

Larry Allen Jean is a Peer Specialist in San Rafael, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

3230 Kerner Blvd
San Rafael, CA 94901-4840
Phone: (415) 847-3209
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X (CA)
Community Health Worker Taxonomy 172V00000X

Record details

NPI number1790127728
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 18, 2013
Last updated in NPPESApril 12, 2023
Certification dateApril 12, 2023
Mailing address36d Oliva Dr, Novato, CA 94947-2123

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