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Jeremy T Purtell
Peer Specialist in Gloversville, New York
NPI 1376291328

Jeremy T Purtell is a Peer Specialist based in Gloversville, NY. Jeremy T Purtell practices in Gloversville, NY. The NPI Number for Jeremy T Purtell is 1376291328 and holds a License No. (New York).

The current practice location address for Jeremy T Purtell is 11-21 Broadway St, Gloversville, NY and can be reached out via phone at 518-725-4310.

Location: 11-21 Broadway St, Gloversville, NY, 12078-3964
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376291328
Provider Name
Jeremy T Purtell
Credential
Provider Entity Type
Individual
Gender
Male
Address
11-21 Broadway St, Gloversville, NY, 12078-3964
Phone Number
518-725-4310
Fax Number
Provider Enumeration Date
03/17/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11-21 Broadway St
City
Gloversville
State
New York
Zip
12078-3964
Phone Number
518-725-4310
Fax Number
person
Provider Business Mailing Address Details
Address
11-21 Broadway St
City
Gloversville
State
New York
Zip
12078-3964
Phone Number
518-725-4310
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(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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