Individual provider · Type 1 NPI

Kenyetta S. Douglass

Peer Specialist · Canton, OH

NPI number 1013719152 Active

Practice location

131 Wertz Ave NW
Canton, OH 44708-4171

Call (234) 214-8470 Map

Fax (234) 214-8471

Mailing address

131 Wertz Ave. NW
Canton, OH 44708-4171

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XAPS.005628 (OH)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

18 other providers at this address

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About NPI 1013719152

Kenyetta S. Douglass's National Provider Identifier is 1013719152, issued on Mar 27, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Canton, OH. The record was last updated on Mar 27, 2025.