Individual provider · Type 1 NPI

Koral Burnham

Peer Specialist · Ogdensburg, NY

NPI number 1497642383 Active

Practice location

1003 Park St
Ogdensburg, NY 13669-3911

Call (315) 713-9090 Map

Fax (315) 713-9330

Mailing address

324 County Route 51 Bldg 1
Malone, NY 12953-4502

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 1497642383

Koral Burnham's National Provider Identifier is 1497642383, issued on Jun 23, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Ogdensburg, NY. The record was last updated on Jun 23, 2025.