Provider Demographics
NPI:1942355730
Name:BATTS, CLARENCE EDWARD JR (BA)
Entity Type:Individual
Prefix:MR
First Name:CLARENCE
Middle Name:EDWARD
Last Name:BATTS
Suffix:JR
Gender:M
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:400 EDMONDS RD
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94062-3803
Mailing Address - Country:US
Mailing Address - Phone:650-839-1810
Mailing Address - Fax:650-839-1463
Practice Address - Street 1:438 N WHITE RD
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95127-1439
Practice Address - Country:US
Practice Address - Phone:408-254-6848
Practice Address - Fax:408-642-6052
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health