Individual provider · Type 1 NPI

Mary V. Jenkins, PEER SUPPORT

Addiction (Substance Use Disorder) Counselor · Cleveland, OH

NPI number 1144966268 Active

Practice location

3214 Prospect Ave E
Cleveland, OH 44115-2614

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Peer Specialist 175T00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.189383 (OH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1144966268

Mary V. Jenkins, PEER SUPPORT's National Provider Identifier is 1144966268, issued on May 11, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Cleveland, OH. The record was last updated on Apr 9, 2025.