Individual provider · Type 1 NPI

Stephen Gilligan Tull

Peer Specialist · San Jose, CA

NPI number 1720526601 Active

Practice location

86 S 14th St
San Jose, CA 95112-2015

Call (408) 510-7080 Map

Mailing address

2001 The Alameda
San Jose, CA 95126-1136

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 1720526601

Stephen Gilligan Tull's National Provider Identifier is 1720526601, issued on Feb 10, 2017. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in San Jose, CA. The record was last updated on Feb 10, 2017.