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Jordan N. Moloznik
Peer Specialist in Canon City, Colorado
NPI 1205223534

Jordan N. Moloznik is a Peer Specialist based in Canon City, CO. Jordan N. Moloznik practices in Canon City, CO. The NPI Number for Jordan N. Moloznik is 1205223534 and holds a License No. (Colorado).

The current practice location address for Jordan N. Moloznik is 3225 Independence Rd., Canon City, CO and can be reached out via phone at 719-275-2351 and via fax at 719-269-9386.

Location: 3225 Independence Rd., Canon City, CO, 81212
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205223534
Provider Name
Jordan N. Moloznik
Credential
Provider Entity Type
Individual
Gender
Female
Address
3225 Independence Rd., Canon City, CO, 81212
Phone Number
719-275-2351
Fax Number
719-269-9386
Provider Enumeration Date
04/24/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3225 Independence Rd.
City
Canon City
State
Colorado
Zip
81212
Phone Number
719-275-2351
Fax Number
719-269-9386
person
Provider Business Mailing Address Details
Address
3225 Independence Rd.
City
Canon City
State
Colorado
Zip
81212
Phone Number
719-275-2351
Fax Number
719-269-9386
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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