Jon Reed Hendricks, PEER SPECIALIST

NPI #1184334815 in Wheatley Heights, New York

Provider Information

NPI Number: 1184334815
Entity Type: Individual
Name: Jon Reed Hendricks, PEER SPECIALIST
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Prevention Professional
Credential: PEER SPECIALIST
Enumeration Date: Dec 5, 2022
Last Updated: Dec 5, 2022

Practice Location

Address: 45 ANDREWS AVE
City: Wheatley Heights
State: New York
ZIP Code: 11798-2333
Phone: (516) 229-1706

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Prevention Professional	405300000X	Primary

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