Individual provider · Type 1 NPI

Nicholas Michael Randall

Peer Specialist · Orchard Park, NY

NPI number 1366090540 Active

Practice location

3176 Abbott Rd Ste 500
Orchard Park, NY 14127-1069

Call (716) 822-2177 Map

Fax (716) 822-8165

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 1366090540

Nicholas Michael Randall's National Provider Identifier is 1366090540, issued on Aug 30, 2019. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Orchard Park, NY. The record was last updated on Aug 30, 2019.