Individual provider · Type 1 NPI

Grant Charles Kirkwood, CDCA

Peer Specialist · Andover, OH

NPI number 1639610595 Active

Practice location

158 W Main St
Andover, OH 44003-9318

Call (216) 353-4723 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X165555 (OH)
Behavior Technician 106S00000XNone listed
Peer Specialist Primary 175T00000X000120 (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 1639610595

Grant Charles Kirkwood, CDCA's National Provider Identifier is 1639610595, issued on Mar 13, 2017. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Andover, OH. The record was last updated on Dec 5, 2024.