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Mr. Michael A Derouchie
Peer Specialist in Malone, New York
NPI 1932959244

Michael A Derouchie is a Peer Specialist based in Malone, NY. Michael A Derouchie practices in Malone, NY. The NPI Number for Michael A Derouchie is 1932959244 and holds a License No. (New York).

The current practice location address for Michael A Derouchie is 125 Finney Blvd, Malone, NY and can be reached out via phone at 518-481-8160 and via fax at 518-481-8161.

Location: 125 Finney Blvd, Malone, NY, 12953-2363
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932959244
Provider Name
Michael A Derouchie
Credential
Provider Entity Type
Individual
Gender
Male
Address
125 Finney Blvd, Malone, NY, 12953-2363
Phone Number
518-481-8160
Fax Number
518-481-8161
Provider Enumeration Date
03/27/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
125 Finney Blvd
City
Malone
State
New York
Zip
12953-1067
Phone Number
518-481-8160
Fax Number
518-481-8161
person
Provider Business Mailing Address Details
Address
125 Finney Blvd
City
Malone
State
New York
Zip
12953-1067
Phone Number
518-481-8160
Fax Number
518-481-8161
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
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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