Individual provider · Type 1 NPI

Marc Pavlack, PRS

Peer Specialist · Xenia, OH

NPI number 1659946440 Active

Practice location

282 Stelton Rd
Xenia, OH 45385-5220

Call (937) 303-8239 Map

Mailing address

PO Box 212
Xenia, OH 45385-0212

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Peer Specialist Primary 175T00000XAPS.002165 (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 1659946440

Marc Pavlack, PRS's National Provider Identifier is 1659946440, issued on May 24, 2021. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Xenia, OH. The record was last updated on Jun 12, 2024.