Individual provider · Type 1 NPI

Kenneth Charles Bishop, CDCA, PEER SUPPOT

Peer Specialist · Lyndhurst, OH

NPI number 1497307946 Active

Practice location

5257 Ashwood Dr
Lyndhurst, OH 44124-1037

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 1497307946

Kenneth Charles Bishop, CDCA, PEER SUPPOT's National Provider Identifier is 1497307946, issued on Jul 15, 2019. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Lyndhurst, OH. The record was last updated on Jul 15, 2019.