Individual provider · Type 1 NPI

Matthew Kellough, PRS

Peer Specialist · Lancaster, OH

NPI number 1265158273 Active

Practice location

551 E Main St
Lancaster, OH 43130-3809

Call (614) 404-6008 Map

Mailing address

PO Box 243
Sugar Grove, OH 43155-0243

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Peer Specialist Primary 175T00000XAPS.003590 (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.

7 other providers at this address

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About NPI 1265158273

Matthew Kellough, PRS's National Provider Identifier is 1265158273, issued on Oct 12, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Lancaster, OH. The record was last updated on Oct 13, 2022.