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Shicoren M Adams I, YPACREDIENTIAL
Peer Specialist in Syracuse, New York
NPI 1629710439

Shicoren M Adams I is a Peer Specialist based in Syracuse, NY. Shicoren M Adams I practices in Syracuse, NY and has the professional credentials of YPACREDIENTIAL. The NPI Number for Shicoren M Adams I is 1629710439 and holds a License No. (New York).

The current practice location address for Shicoren M Adams I is 215 Wyoming St, Syracuse, NY and can be reached out via phone at 315-703-8700.

Location: 215 Wyoming St, Syracuse, NY, 13204-2928
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629710439
Provider Name
Shicoren M Adams I
Credential
YPACREDIENTIAL
Provider Entity Type
Individual
Gender
Male
Address
215 Wyoming St, Syracuse, NY, 13204-2928
Phone Number
315-703-8700
Fax Number
Provider Enumeration Date
04/12/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
175T00000X 05 NY
institution
Provider Business Practice Location Address Details
Address
215 Wyoming St
City
Syracuse
State
New York
Zip
13204-2927
Phone Number
315-703-8700
Fax Number
person
Provider Business Mailing Address Details
Address
215 Wyoming St
City
Syracuse
State
New York
Zip
13204-2927
Phone Number
315-703-8700
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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