Individual provider · Type 1 NPI

Constance Rose Krupa

Peer Specialist · Rock Island, IL

NPI number 1861106791 Active

Practice location

2701 17th St
Rock Island, IL 61201-5351

Mailing address

6456 W 65th St
Chicago, IL 60638-5102

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 1861106791

Constance Rose Krupa's National Provider Identifier is 1861106791, issued on Jan 5, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Rock Island, IL. The record was last updated on Jan 23, 2023.