Individual provider · Type 1 NPI

Kelly Gough

Peer Specialist · Harrison, NY

NPI number 1902764582 Active

Practice location

275 North St
Harrison, NY 10528-1140

Call (914) 925-5309 Map

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 1902764582

Kelly Gough's National Provider Identifier is 1902764582, issued on Jan 13, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Harrison, NY. The record was last updated on Jan 13, 2026.