Jacob Winters
Peer Specialist in Buffalo, NY. Individual provider (NPI-1).
NPI number1144985243
StatusActive
Last updated in NPPESNov 3, 2021
Details
- NPI
- 1144985243
- Entity type
- Individual (NPI-1)
- Name
- Jacob Winters
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 3, 2021
- Certification date
- Nov 3, 2021
- Last updated
- Nov 3, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
Practice location
430 Niagara StBuffalo, NY 14201-1886
Phone 716-566-1870
Mailing address
430 Niagara StBuffalo, NY 14201-1886
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