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Individual

KELSEY M FERERIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
601 COURT ST STE 210, JACKSON, CA 95642-2163
(209) 257-1980
Mailing address
601 COURT ST STE 210, JACKSON, CA 95642-2163
(209) 257-1980

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
175T00000X
Peer Specialist
Primary

Other

Enumeration date
01/21/2026
Last updated
03/02/2026
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