Individual provider · Type 1 NPI

Desirae Marie Malone, CRPA-P

Peer Specialist · Canton, NY

NPI number 1124817788 Active

Practice location

80 State Highway 310 Ste 1
Canton, NY 13617-1493

Call (315) 386-2189 Map

Fax (315) 386-2435

Mailing address

1200 Santamont Rd
Potsdam, NY 13676-3334

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: 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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About NPI 1124817788

Desirae Marie Malone, CRPA-P's National Provider Identifier is 1124817788, issued on May 1, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Canton, NY. The record was last updated on May 1, 2025.