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Eric Lewis Kittles JR.
Peer Specialist in Rochester, New York
NPI 1740744960

Eric Lewis Kittles JR. is a Peer Specialist based in Rochester, NY. Eric Lewis Kittles JR. practices in Rochester, NY. The NPI Number for Eric Lewis Kittles JR. is 1740744960 and holds a License No. 17500000X (New York).

The current practice location address for Eric Lewis Kittles JR. is 1 Mustard St, Rochester, NY and can be reached out via phone at 585-336-8100.

Location: 1 Mustard St, Rochester, NY, 14609-6980
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740744960
Provider Name
Eric Lewis Kittles JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
1 Mustard St, Rochester, NY, 14609-6980
Phone Number
585-336-8100
Fax Number
Provider Enumeration Date
01/23/2019
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
21304 01 TRAIN
institution
Provider Business Practice Location Address Details
Address
1 Mustard St
City
Rochester
State
New York
Zip
14609-6980
Phone Number
585-336-8100
Fax Number
person
Provider Business Mailing Address Details
Address
1 Mustard St
City
Rochester
State
New York
Zip
14609-6980
Phone Number
585-336-8100
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
17500000X ()
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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