Individual provider · Type 1 NPI

Jacob White Iii

Peer Specialist · Columbus, OH

NPI number 1295391944 Active

Practice location

16 W Long St
Columbus, OH 43215-2815

Mailing address

570 Russell Rd Apt 5
Mansfield, OH 44903-1900

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 1295391944

Jacob White Iii's National Provider Identifier is 1295391944, issued on May 17, 2019. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Columbus, OH. The record was last updated on May 17, 2019.