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Mr. Troy Elgin Mack JR., PRC
Peer Specialist in Lakewood, Colorado
NPI 1861265860

Troy Elgin Mack JR. is a Peer Specialist based in Lakewood, CO. Troy Elgin Mack JR. practices in Lakewood, CO and has the professional credentials of PRC. The NPI Number for Troy Elgin Mack JR. is 1861265860 and holds a License No. 07-112-1217 (Colorado).

The current practice location address for Troy Elgin Mack JR. is 6273 W Jewell Ave # 109, Lakewood, CO and can be reached out via phone at 720-829-3093.

Location: 6273 W Jewell Ave # 109, Lakewood, CO, 80232-7113
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861265860
Provider Name
Troy Elgin Mack JR.
Credential
PRC
Provider Entity Type
Individual
Gender
Male
Address
6273 W Jewell Ave # 109, Lakewood, CO, 80232-7113
Phone Number
720-829-3093
Fax Number
Provider Enumeration Date
11/01/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6273 W Jewell Ave # 109
City
Lakewood
State
Colorado
Zip
80232-7113
Phone Number
720-829-3093
Fax Number
person
Provider Business Mailing Address Details
Address
6273 W Jewell Ave # 109
City
Lakewood
State
Colorado
Zip
80232-7113
Phone Number
720-829-3093
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
07-112-1217 (Colorado)
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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