NPI 1386423556

Jeffrey Robert Axelson, PEERSPECIALIST

Practitioner Peer Specialist Jamestown, NY

Practice location

Address: 890 E 2nd St, Jamestown, NY 14701-3824
Phone: (716) 661-1447
Fax: (716) 661-1534
Mailing address: PO Box 132, Jamestown, NY 14702-0132

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1386423556
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Sep 2023
Record last updated: 9 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.