Individual provider · Type 1 NPI
Michelle Lois Stackhouse, PEER SUPPORT
Peer Specialist · Canton, OH
NPI number
1396229027
Active
Practice location
5736 East Blvd NW
Canton, OH 44718-1655
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | 00030 (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 1396229027
Michelle Lois Stackhouse, PEER SUPPORT's National Provider Identifier is 1396229027, issued on Sep 19, 2018. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Canton, OH. The record was last updated on Sep 19, 2018.