Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNY JUNIOR RODRIGUEZ TRUJILLO
ActiveKENNY JUNIOR RODRIGUEZ TRUJILLO is a Peer Specialist healthcare provider located in GREENBRAE, California. NPI 1003406810 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · GREENBRAE, CA
Registration Details
- NPI Number
- 1003406810
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 25, 2021 (5.5877130139238 yrs)
- Last Updated
- Apr 8, 2024
- Licenses
-
MPSS-IJQGWM (CA)MPSS-IJQGWM (CA)MPSS-IJQGWM (CA)
Practice Information
- Address
-
250 BON AIR ROAD, UNIT B - 1ST FLOOR (ACCESS TEAM)GREENBRAE, CA, 94904Browse CA providers · Browse ZIP 94904
- Phone
- 8888181115
- Primary Specialty
-
Peer Specialist
175T00000X
- Additional Specialty
- Occupational Therapy Assistant
- Additional Specialty
- Peer Specialist
Other Peer Specialist Providers in GREENBRAE, CA
| Name | Credential | NPI |
|---|---|---|
| JOSEPH JACKSON | — | 1912386509 |
| HASANI MOORE | — | 1235769258 |
| MISS RUTH A GALVAN | — | 1013676808 |
| CHERISH ANN MARIE ANSANELLI | — | 1295450476 |
| JAMES HAIME | — | 1265393615 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.