Individual provider · Type 1 NPI

Jesse Bevan

Rehabilitation Practitioner · Santa Rosa, CA

NPI number 1396575528 Active

Practice location

112 Childrens Cir
Santa Rosa, CA 95409-6558

Call (707) 565-4322 Map

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed
Mental Health Counselor 101YM0800XNone listed
Case Manager/Care Coordinator 171M00000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1396575528

Jesse Bevan's National Provider Identifier is 1396575528, issued on Aug 2, 2024. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Santa Rosa, CA. The record was last updated on Jul 17, 2025.