National Provider Identifier
Jeffrey Robert Axelson, PEER SPECIALIST
Jeffrey Robert Axelson, PEER SPECIALIST is listed in the NPPES registry with a primary specialty of Peer Specialist in Jamestown, NY and a listed phone number of (716) 661-1447.
Profile Overview
- NPI
- 1386423556
- Provider Type
- Individual
- Primary Specialty
- Peer Specialist
- Enumeration Date
- September 26, 2023
- Last Updated
- January 09, 2024
Practice Location
- 890 E 2Nd St
- Jamestown, NY 14701-3824
Phone: (716) 661-1447
Mailing Address
- PO Box 132
- Jamestown, NY 14702-0132
Specialties
- Peer Specialist (175T00000X)
Full Record
- NPI
- 1386423556
- Entity Type
- Individual
- Last Name
- Axelson
- First Name
- Jeffrey
- Middle Name
- Robert
- Credential
- PEER SPECIALIST
- Mailing Street Address
- PO Box 132
- Mailing City
- Jamestown
- Mailing State
- NY
- Mailing ZIP Code
- 14702-0132
- Mailing Country
- US
- Mailing Phone
- (716) 499-3662
- Practice Street Address
- 890 E 2Nd St
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701-3824
- Practice Country
- US
- Practice Phone
- (716) 661-1447
- Practice Fax
- (716) 661-1534
- Enumeration Date
- September 26, 2023
- Last Updated
- January 09, 2024
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- January 09, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Peer Specialist (175T00000X)