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Nathaniel William Stacy, CRPA-P
Peer Specialist in Utica, New York
NPI 1083325575

Nathaniel William Stacy is a Peer Specialist based in Utica, NY. Nathaniel William Stacy practices in Utica, NY and has the professional credentials of CRPA-P. The NPI Number for Nathaniel William Stacy is 1083325575 and holds a License No. (New York).

The current practice location address for Nathaniel William Stacy is 624 Elizabeth St, Utica, NY and can be reached out via phone at 315-580-9748.

Location: 624 Elizabeth St, Utica, NY, 13501-2413
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083325575
Provider Name
Nathaniel William Stacy
Credential
CRPA-P
Provider Entity Type
Individual
Gender
Male
Address
624 Elizabeth St, Utica, NY, 13501-2413
Phone Number
315-580-9748
Fax Number
Provider Enumeration Date
12/06/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CRPA-P-6012 01 NYCB
institution
Provider Business Practice Location Address Details
Address
624 Elizabeth St
City
Utica
State
New York
Zip
13501-2413
Phone Number
315-580-9748
Fax Number
person
Provider Business Mailing Address Details
Address
624 Elizabeth St
City
Utica
State
New York
Zip
13501-2413
Phone Number
315-580-9748
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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