Individual provider · Type 1 NPI

Stephen Jefferson

Rehabilitation Practitioner · San Bernardino, CA

NPI number 1831927029 Active

Practice location

658 E Brier Dr Ste 350
San Bernardino, CA 92408-2875

Call (909) 873-4407 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XSUDRC21405 (CA)
Rehabilitation Practitioner Primary 225400000XNone 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 1831927029

Stephen Jefferson's National Provider Identifier is 1831927029, issued on Jul 22, 2024. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in San Bernardino, CA. The record was last updated on Oct 29, 2026.