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

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X00030 (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.