person
James Dieffenbacher JR.
Peer Specialist in Utica, New York
NPI 1245684539

James Dieffenbacher JR. is a Peer Specialist based in Utica, NY. James Dieffenbacher JR. practices in Utica, NY. The NPI Number for James Dieffenbacher JR. is 1245684539 and holds a License No. (New York).

The current practice location address for James Dieffenbacher JR. is 1400 Noyes St, Utica, NY and can be reached out via phone at 315-738-4420.

Location: 1400 Noyes St, Utica, NY, 13502-3854
person
Provider Profile Details
NPI Number
1245684539
Provider Name
James Dieffenbacher JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
1400 Noyes St, Utica, NY, 13502-3854
Phone Number
315-738-4420
Fax Number
Provider Enumeration Date
04/22/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CODE175T00000X 01 NY PEER SPECIALIST
institution
Provider Business Practice Location Address Details
Address
1400 Noyes St
City
State
Zip
13502-3854
Phone Number
315-738-4420
Fax Number
person
Provider Business Mailing Address Details
Address
1400 Noyes St
City
State
Zip
13502-3854
Phone Number
315-738-4420
Fax Number
person
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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