Individual provider · Type 1 NPI

Nicole Herndon

Peer Specialist · Canton, OH

NPI number 1114569506 Active

Practice location

1114 Gonder Ave SE
Canton, OH 44707-3300

Call (330) 430-2801 Map

Mailing address

5982 Rhodes Rd
Kent, OH 44240-8100

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

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 1114569506

Nicole Herndon's National Provider Identifier is 1114569506, issued on Oct 17, 2019. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Canton, OH. The record was last updated on Oct 17, 2019.