Individual provider · Type 1 NPI

Jackson Topaz

Peer Specialist · Coram, NY

NPI number 1245993450 Active

Practice location

3600 Route 112
Coram, NY 11727-4116

Mailing address

14202 20th Ave Fl 3
Flushing, NY 11351-3000

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 1245993450

Jackson Topaz's National Provider Identifier is 1245993450, issued on Oct 15, 2021. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Coram, NY. The record was last updated on Oct 15, 2021.