Individual provider · Type 1 NPI
Alexander Fidalgo, CARC #0127
Peer Specialist · Springfield, MA
NPI number
1154935518
Active
Practice location
155 Maple St Ste 304
Springfield, MA 01105-1828
Mailing address
5 Plantation St Apt 1
Worcester, MA 01604-4964
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | 0127 (MA) |
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 1154935518
Alexander Fidalgo, CARC #0127's National Provider Identifier is 1154935518, issued on Sep 3, 2020. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Springfield, MA. The record was last updated on Sep 3, 2020.