person
Matthew Blake Thomas
Peer Specialist in Malone, New York
NPI 1619645397

Matthew Blake Thomas is a Peer Specialist based in Malone, NY. Matthew Blake Thomas practices in Malone, NY. The NPI Number for Matthew Blake Thomas is 1619645397 and holds a License No. (New York).

The current practice location address for Matthew Blake Thomas is 15 4Th St, Malone, NY and can be reached out via phone at 518-481-8160.

Location: 15 4Th St, Malone, NY, 12953-1340
person
Provider Profile Details
NPI Number
1619645397
Provider Name
Matthew Blake Thomas
Credential
Provider Entity Type
Individual
Gender
Male
Address
15 4Th St, Malone, NY, 12953-1340
Phone Number
518-481-8160
Fax Number
Provider Enumeration Date
08/30/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1987 05 NY
institution
Provider Business Practice Location Address Details
Address
15 4Th St
City
State
Zip
12953-1340
Phone Number
518-481-8160
Fax Number
person
Provider Business Mailing Address Details
Address
15 4Th St
City
State
Zip
12953-1340
Phone Number
518-481-8160
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
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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