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

Renae Jefferson

Individual provider Peer Specialist · NPI 1992104590

Renae Jefferson is a Peer Specialist in Stockton, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014

Practice location Address checks out

1212 N California St
Stockton, CA 95202-1552
Phone: (209) 468-2343
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence MPSS-PWOO12 (CA)

Record details

NPI number1992104590
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 19, 2014
Last updated in NPPESNovember 6, 2024
Certification dateNovember 6, 2024
Mailing address1212 N California St, Stockton, CA 95202-1552

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