Individual provider · Type 1 NPI
Jordan N. Moloznik
Peer Specialist · Canon City, CO
NPI number
1205223534
Active
Practice location
3225 Independence Rd.
Canon City, CO 81212
Fax (719) 269-9386
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | None 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.
Another provider at this address
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About NPI 1205223534
Jordan N. Moloznik's National Provider Identifier is 1205223534, issued on Apr 24, 2015. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Canon City, CO. The record was last updated on Jun 8, 2015.