person
John M Mazur, CASAC-T,CRPA,NYCPS-P
Peer Specialist in Utica, New York
NPI 1548010515

John M Mazur is a Peer Specialist based in Constableville, NY. John M Mazur practices in Utica, NY and has the professional credentials of CASAC-T,CRPA,NYCPS-P. The NPI Number for John M Mazur is 1548010515 and holds a License No. 38948 (New York).

The current practice location address for John M Mazur is 500 Whitesboro St, Utica, NY and can be reached out via phone at 315-724-5168.

Location: 500 Whitesboro St, Utica, NY, 13325-1816
person
Provider Profile Details
NPI Number
1548010515
Provider Name
John M Mazur
Credential
CASAC-T,CRPA,NYCPS-P
Provider Entity Type
Individual
Gender
Male
Address
500 Whitesboro St, Utica, NY, 13325-1816
Phone Number
315-724-5168
Fax Number
Provider Enumeration Date
03/25/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
500 Whitesboro St
City
State
Zip
13502-3015
Phone Number
315-724-5168
Fax Number
person
Provider Business Mailing Address Details
Address
500 Whitesboro St
City
State
Zip
13502-3015
Phone Number
315-724-5168
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
NYCPS-P-5843 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
38948 (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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