Individual provider · Type 1 NPI

Larry Spontaneo

Peer Specialist · Jamestown, NY

NPI number 1326859554 Active

Practice location

1400 S Main Street Ext
Jamestown, NY 14701-9568

Call (716) 329-1399 Map

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 1326859554

Larry Spontaneo's National Provider Identifier is 1326859554, issued on Jan 16, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Jamestown, NY. The record was last updated on Jan 16, 2025.