person
Mr. Chase Montgomery Maddox
Peer Specialist in Brooklyn, New York
NPI 1902667629

Chase Montgomery Maddox is a Peer Specialist based in New York, NY. Chase Montgomery Maddox practices in Brooklyn, NY. The NPI Number for Chase Montgomery Maddox is 1902667629 and holds a License No. NYCPS-P-200062 (New York).

The current practice location address for Chase Montgomery Maddox is 1623 Flatbush Ave Ste 4, Brooklyn, NY and can be reached out via phone at 718-377-5755.

Location: 1623 Flatbush Ave Ste 4, Brooklyn, NY, 10032-6115
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Provider Profile Details
NPI Number
1902667629
Provider Name
Chase Montgomery Maddox
Credential
Provider Entity Type
Individual
Gender
Male
Address
1623 Flatbush Ave Ste 4, Brooklyn, NY, 10032-6115
Phone Number
718-377-5755
Fax Number
Provider Enumeration Date
01/19/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1623 Flatbush Ave Ste 4
City
State
Zip
11210-3264
Phone Number
718-377-5755
Fax Number
person
Provider Business Mailing Address Details
Address
1623 Flatbush Ave Ste 4
City
State
Zip
11210-3264
Phone Number
718-377-5755
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
NYCPS-P-200062 (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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