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Mr. Zachary John Holley Ives, NYSPEERSPECIALIST
Peer Specialist in Ogdensburg, New York
NPI 1548037047

Zachary John Holley Ives is a Peer Specialist based in Ogdensburg, NY. Zachary John Holley Ives practices in Ogdensburg, NY and has the professional credentials of NYSPEERSPECIALIST. The NPI Number for Zachary John Holley Ives is 1548037047 and holds a License No. (New York).

The current practice location address for Zachary John Holley Ives is 1003 Park St, Ogdensburg, NY and can be reached out via phone at 315-713-9090.

Location: 1003 Park St, Ogdensburg, NY, 13669-3387
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548037047
Provider Name
Zachary John Holley Ives
Credential
NYSPEERSPECIALIST
Provider Entity Type
Individual
Gender
Male
Address
1003 Park St, Ogdensburg, NY, 13669-3387
Phone Number
315-713-9090
Fax Number
Provider Enumeration Date
12/05/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1003 Park St
City
Ogdensburg
State
New York
Zip
13669-3911
Phone Number
315-713-9090
Fax Number
person
Provider Business Mailing Address Details
Address
1003 Park St
City
Ogdensburg
State
New York
Zip
13669-3911
Phone Number
315-713-9090
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
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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