Individual provider · Type 1 NPI

Michael A. Derouchie

Peer Specialist · Malone, NY

NPI number 1932959244 Active

Practice location

125 Finney Blvd
Malone, NY 12953-1067

Call (518) 481-8160 Map

Fax (518) 481-8161

Mailing address

35 Duane St Apt 12
Malone, NY 12953-2363

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 1932959244

Michael A. Derouchie's National Provider Identifier is 1932959244, issued on Mar 27, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Malone, NY. The record was last updated on Mar 27, 2024.