person
Charles Patrick Hertica
Peer Specialist in Kingston, New York
NPI 1275240095

Charles Patrick Hertica is a Peer Specialist based in Kingston, NY. Charles Patrick Hertica practices in Kingston, NY. The NPI Number for Charles Patrick Hertica is 1275240095 and holds a License No. (New York).

The current practice location address for Charles Patrick Hertica is 368 Broadway Ste 204, Kingston, NY and can be reached out via phone at 845-481-4728.

Location: 368 Broadway Ste 204, Kingston, NY, 12401-6838
person
Provider Profile Details
NPI Number
1275240095
Provider Name
Charles Patrick Hertica
Credential
Provider Entity Type
Individual
Gender
Male
Address
368 Broadway Ste 204, Kingston, NY, 12401-6838
Phone Number
845-481-4728
Fax Number
Provider Enumeration Date
11/01/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
368 Broadway Ste 204
City
State
Zip
12401-5159
Phone Number
845-481-4728
Fax Number
person
Provider Business Mailing Address Details
Address
368 Broadway Ste 204
City
State
Zip
12401-5159
Phone Number
845-481-4728
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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