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Kenneth Robert Lewis, NYCPS-3799
Peer Specialist in Rochester, New York
NPI 1467064832

Kenneth Robert Lewis is a Peer Specialist based in Rochester, NY. Kenneth Robert Lewis practices in Rochester, NY and has the professional credentials of NYCPS-3799. The NPI Number for Kenneth Robert Lewis is 1467064832 and holds a License No. NYCPS-P-3799 (New York).

The current practice location address for Kenneth Robert Lewis is 320 N Goodman St Ste 202320, Rochester, NY and can be reached out via phone at 585-325-3145 and via fax at 585-244-3999.

Location: 320 N Goodman St Ste 202320, Rochester, NY, 14607-1185
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467064832
Provider Name
Kenneth Robert Lewis
Credential
NYCPS-3799
Provider Entity Type
Individual
Gender
Male
Address
320 N Goodman St Ste 202320, Rochester, NY, 14607-1185
Phone Number
585-325-3145
Fax Number
585-244-3999
Provider Enumeration Date
08/18/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
320 N Goodman St Ste 202320
City
Rochester
State
New York
Zip
14607-1185
Phone Number
585-325-3145
Fax Number
585-244-3999
person
Provider Business Mailing Address Details
Address
320 N Goodman St Ste 202320
City
Rochester
State
New York
Zip
14607-1185
Phone Number
585-325-3145
Fax Number
585-244-3999
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
NYCPS-P-3799 (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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