Jacklyn Egan is a Peer Specialist based in Elmira, NY. Jacklyn Egan practices in Elmira, NY. The NPI Number for Jacklyn Egan is 1093355851 and holds a License No. (New York).
The current practice location address for Jacklyn Egan is 1149 Sullivan St Ste B, Elmira, NY and can be reached out via phone at 607-733-7661.
Location: 1149 Sullivan St Ste B, Elmira, NY, 14901-1670
Provider Profile Details
NPI Number
1093355851
Provider Name
Jacklyn Egan
Credential
Provider Entity Type
Individual
Gender
Female
Address
1149 Sullivan St Ste B, Elmira, NY, 14901-1670
Phone Number
607-733-7661
Fax Number
Provider Enumeration Date
01/09/2020
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
1149 Sullivan St Ste B
City
State
Zip
14901-1670
Phone Number
607-733-7661
Fax Number
Provider Business Mailing Address Details
Address
1149 Sullivan St Ste B
City
State
Zip
14901-1670
Phone Number
607-733-7661
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
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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