Jacob Carter is a Peer Specialist based in Poughkeepsie, NY. Jacob Carter practices in Walden, NY. The NPI Number for Jacob Carter is 1336857473 and holds a License No. 4615 (New York).
The current practice location address for Jacob Carter is 108 Ulster Ave, Walden, NY and can be reached out via phone at 845-452-2728.
Location: 108 Ulster Ave, Walden, NY, 12603-2857
Provider Profile Details
NPI Number
1336857473
Provider Name
Jacob Carter
Credential
Provider Entity Type
Individual
Gender
Male
Address
108 Ulster Ave, Walden, NY, 12603-2857
Phone Number
845-452-2728
Fax Number
Provider Enumeration Date
11/08/2022
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
108 Ulster Ave
City
State
Zip
12586-1036
Phone Number
845-452-2728
Fax Number
Provider Business Mailing Address Details
Address
108 Ulster Ave
City
State
Zip
12586-1036
Phone Number
845-452-2728
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
4615 (New York)
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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