Individual provider · Type 1 NPI

Carolyn Diercksen

Peer Specialist · Orchard Park, NY

NPI number 1912656828 Active

Practice location

3176 Abbott Rd Unit 500
Orchard Park, NY 14127-1069

Call (716) 822-2117 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 1912656828

Carolyn Diercksen's National Provider Identifier is 1912656828, issued on Mar 20, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Orchard Park, NY. The record was last updated on Mar 20, 2022.