Individual provider · Type 1 NPI
Troy Elgin Mack Jr., PRC
Peer Specialist · Lakewood, CO
NPI number
1861265860
Active
Practice location
6273 W Jewell Ave # 109
Lakewood, CO 80232-7113
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | 07-112-1217 (CO) |
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 1861265860
Troy Elgin Mack Jr., PRC's National Provider Identifier is 1861265860, issued on Nov 1, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Lakewood, CO. The record was last updated on Nov 1, 2023.