Individual provider · Type 1 NPI
Kenneth Robert Lewis, NYCPS-3799
Peer Specialist · Rochester, NY
NPI number
1467064832
Active
Practice location
320 N Goodman St Ste 202320
Rochester, NY 14607-1185
Fax (585) 244-3999
Mailing address
320 N Goodman St
Rochester, NY 14607-1185
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | NYCPS-P-3799 (NY) |
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 1467064832
Kenneth Robert Lewis, NYCPS-3799's National Provider Identifier is 1467064832, issued on Aug 18, 2020. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Rochester, NY. The record was last updated on Aug 18, 2020.