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Miss Doreen J Zydor, NYSCASAC-T,NYCPS
Peer Specialist in Callicoon, New York
NPI 1831651421

Doreen J Zydor is a Peer Specialist based in Callicoon, NY. Doreen J Zydor practices in Callicoon, NY and has the professional credentials of NYSCASAC-T,NYCPS. The NPI Number for Doreen J Zydor is 1831651421 and holds a License No. 33852 (New York).

The current practice location address for Doreen J Zydor is 28 Horseshoe Ln, Callicoon, NY and can be reached out via phone at 845-791-0170.

Location: 28 Horseshoe Ln, Callicoon, NY, 12723-5414
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831651421
Provider Name
Doreen J Zydor
Credential
NYSCASAC-T,NYCPS
Provider Entity Type
Individual
Gender
Female
Address
28 Horseshoe Ln, Callicoon, NY, 12723-5414
Phone Number
845-791-0170
Fax Number
Provider Enumeration Date
04/02/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
33852 01 NY NYS OASAS
DY28409Z 05 NY
NYCPS-P-1777 01 NY NY PEER SPECIALIST
institution
Provider Business Practice Location Address Details
Address
28 Horseshoe Ln
City
Callicoon
State
New York
Zip
12723-5414
Phone Number
845-791-0170
Fax Number
person
Provider Business Mailing Address Details
Address
28 Horseshoe Ln
City
Callicoon
State
New York
Zip
12723-5414
Phone Number
845-791-0170
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
NYCPS-P-1777 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
33852 (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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