Individual provider · Type 1 NPI

Jesse Alvin Shaw

Peer Specialist · Santa Cruz, CA

NPI number 1144938069 Active

Practice location

380 Encinal St Ste 200
Santa Cruz, CA 95060-2178

Call (831) 469-1700 Map

Fax (831) 425-1905

Mailing address

604 Pearl St
Monterey, CA 93940-3070

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: 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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About NPI 1144938069

Jesse Alvin Shaw's National Provider Identifier is 1144938069, issued on Nov 9, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Santa Cruz, CA. The record was last updated on May 14, 2025.