IndividualActive
Jamaryon Middlebrooks
NPI 1609636430 · Peer Specialist · Indianapolis, IN
Provider details
- NPI number
- 1609636430
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- CAPRC2-MH-5048 (IN)
Specialties & taxonomies
Other Service Providers
Practice location
7941 Castleway Dr
Indianapolis, IN 46250-1953
Phone: (317) 690-9993
Approximate (ZIP-level) locationGet directions
Mailing address
7941 Castleway Dr
Indianapolis, IN 46250-1953
Registry dates
- Enumerated
- 2024-03-20
- Last updated
- 2024-03-20
- Certified
- 2024-03-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.