Individual provider · Type 1 NPI

Theodore Laurence Walker, PRSS

Peer Specialist · Ravenna, OH

NPI number 1518773142 Active

Practice location

223 W Main St
Ravenna, OH 44266-2741

Fax (844) 274-3002

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XAPS.005855 (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 1518773142

Theodore Laurence Walker, PRSS's National Provider Identifier is 1518773142, issued on Dec 9, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Ravenna, OH. The record was last updated on Dec 9, 2024.