SearchCalifornia390200000X

Jeremy Clifford

NPI 1053015180 · on the registry since 2023

Practice

Address
4625 Mountain Lakes Blvd
Redding, CA 96003
Phone
(530) 246-7172
Organisation at this address
Open Line Group Homes, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
20

Registry record

Primary taxonomy
390200000X
390200000X
Also registered as
103K00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-08-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California