Individual provider · Type 1 NPI
Andrew James Fairley, CRPA
Peer Specialist · Staten Island, NY
NPI number
1144819673
Active
Practice location
96 Mobile Ave
Staten Island, NY 10306-2128
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | CRPA-P-4690 (NY) |
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 1144819673
Andrew James Fairley, CRPA's National Provider Identifier is 1144819673, issued on Jan 11, 2021. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Staten Island, NY. The record was last updated on Jan 11, 2021.