Individual provider · Type 1 NPI

Paul Kendall Vandoorn

Peer Specialist · Columbus, OH

NPI number 1114586534 Active

Practice location

5500 Millersfield Dr Apt 104
Columbus, OH 43232-7765

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X00451 (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 1114586534

Paul Kendall Vandoorn's National Provider Identifier is 1114586534, issued on Jun 10, 2019. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Columbus, OH. The record was last updated on Jun 10, 2019.