Provider Demographics
NPI:1457870024
Name:JEAN-PIERRE, DELANO GREGORY
Entity Type:Individual
Prefix:MR
First Name:DELANO
Middle Name:GREGORY
Last Name:JEAN-PIERRE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1756 PEACHWILLOW ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURG
Mailing Address - State:CA
Mailing Address - Zip Code:94565-7304
Mailing Address - Country:US
Mailing Address - Phone:407-733-7709
Mailing Address - Fax:
Practice Address - Street 1:920 CAMPBELL ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94607-1320
Practice Address - Country:US
Practice Address - Phone:407-733-7709
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-14
Last Update Date:2017-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor