Individual provider · Type 1 NPI
Jenette Marie Stark
Peer Specialist · Greenville, OH
NPI number
1114659653
Active
Practice location
209 E 4th St
Greenville, OH 45331-1939
Mailing address
530 S Main St
Lima, OH 45804-1240
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | None 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.
Another provider at this address
Other peer specialist providers in Greenville
About NPI 1114659653
Jenette Marie Stark's National Provider Identifier is 1114659653, issued on Jun 24, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Greenville, OH. The record was last updated on Jun 24, 2022.