Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Carter

Individual provider Peer Specialist · NPI 1336857473

Jacob Carter is a Peer Specialist in Walden, New York. Licensed in New York. Registered with an NPI since 2022.

Licensed in
NY
In the registry since
2022

Practice location Address checks out

108 Ulster Ave
Walden, NY 12586-1036
Phone: (845) 452-2728
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 4615 (NY)

Record details

NPI number1336857473
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 8, 2022
Last updated in NPPESNovember 8, 2022
Certification dateNovember 4, 2022
Mailing address102 Fulton Ave, Poughkeepsie, NY 12603-2857

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