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Jessica Reynolds Mack
Peer Specialist in Kingston, New York
NPI 1912498205

Jessica Reynolds Mack is a Peer Specialist based in Highland, NY. Jessica Reynolds Mack practices in Kingston, NY. The NPI Number for Jessica Reynolds Mack is 1912498205 and holds a License No. (New York).

The current practice location address for Jessica Reynolds Mack is 6 Adams St, Kingston, NY and can be reached out via phone at 845-340-9170. You can also correspond with Jessica Reynolds Mack through the mailing address at 59 GRAND ST, HIGHLAND, NY - 12528-1209 (mailing address contact number: 845-754-4944).

Location: 6 Adams St, Kingston, NY, 12528-1209
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912498205
Provider Name
Jessica Reynolds Mack
Credential
Provider Entity Type
Individual
Gender
Female
Address
6 Adams St, Kingston, NY, 12528-1209
Phone Number
845-340-9170
Fax Number
Provider Enumeration Date
05/23/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6 Adams St
City
Kingston
State
New York
Zip
12401-6012
Phone Number
845-340-9170
Fax Number
person
Provider Business Mailing Address Details
Address
6 Adams St
City
Kingston
State
New York
Zip
12401-6012
Phone Number
845-340-9170
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(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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