Individual provider · Type 1 NPI
Jerry Elijah McClellan Jr.
Peer Specialist · Hawthorne, CA
NPI number
1275469538
Active
Practice location
2501 W El Segundo Blvd
Hawthorne, CA 90250-3317
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | MPSS-JIFPUM (CA) |
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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Other peer specialist providers in Hawthorne
About NPI 1275469538
Jerry Elijah McClellan Jr.'s National Provider Identifier is 1275469538, issued on Jun 23, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Hawthorne, CA. The record was last updated on Jun 23, 2026.