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

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XCRPA-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.