Individual provider · Type 1 NPI

Jacob Bonner

Peer Specialist · Cleveland, OH

NPI number 1104588789 Active

Practice location

13377 Smith Rd
Cleveland, OH 44130-7810

Call (440) 340-5558 Map

Fax (440) 340-5575

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000XNone listed
Peer Specialist Primary 175T00000X0002342 (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.

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About NPI 1104588789

Jacob Bonner's National Provider Identifier is 1104588789, issued on Oct 11, 2021. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Cleveland, OH. The record was last updated on Oct 11, 2021.