Jacob Carter

NPI #1336857473 in Walden, New York

Provider Information

NPI Number: 1336857473
Entity Type: Individual
Name: Jacob Carter
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Nov 8, 2022
Last Updated: Nov 8, 2022

Practice Location

Address: 108 ULSTER AVE
City: Walden
State: New York
ZIP Code: 12586-1036
Phone: (845) 452-2728

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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