Individual provider · Type 1 NPI

Jerry Swindell Ganus Jr.

Peer Specialist · Raeford, NC

NPI number 1972396463 Active

Practice location

402 Harris Ave
Raeford, NC 28376-3112

Call (910) 875-5590 Map

Fax (910) 875-5008

Mailing address

690 Wiltshire Rd
Fayetteville, NC 28314-0743

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X2024-9570-01 (NC)

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.

22 other providers at this address

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About NPI 1972396463

Jerry Swindell Ganus Jr.'s National Provider Identifier is 1972396463, issued on May 27, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Raeford, NC. The record was last updated on May 27, 2025.