Jean Edouard is a Peer Specialist based in Bronx, NY. Jean Edouard practices in Bronx, NY. The NPI Number for Jean Edouard is 1750743639 and holds a License No. NYCPS-P300 (New York).
The current practice location address for Jean Edouard is 640 W 232Nd St, Bronx, NY and can be reached out via phone at 718-884-2992.
Location: 640 W 232Nd St, Bronx, NY, 10471-2138
Provider Profile Details
NPI Number
1750743639
Provider Name
Jean Edouard
Credential
Provider Entity Type
Individual
Gender
Male
Address
640 W 232Nd St, Bronx, NY, 10471-2138
Phone Number
718-884-2992
Fax Number
Provider Enumeration Date
03/22/2016
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
640 W 232Nd St
City
State
Zip
10463-3207
Phone Number
718-884-2992
Fax Number
Provider Business Mailing Address Details
Address
640 W 232Nd St
City
State
Zip
10463-3207
Phone Number
718-884-2992
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
NYCPS-P300 (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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