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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. You can also correspond with James Dieffenbacher JR. through the mailing address at 1400 NOYES ST, UTICA, NY - 13502-3854 (mailing address contact number: ).

Location: 1400 Noyes St, Utica, NY, 13502-3854
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Utica
State
New York
Zip
13502-3854
Phone Number
315-738-4420
Fax Number
person
Provider Business Mailing Address Details
Address
1400 Noyes St
City
Utica
State
New York
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
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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