Individual provider · Type 1 NPI

David Wallenhurst, AAS

Peer Specialist · Lisbon, OH

NPI number 1770094575 Active

Practice location

40722 State Route 154
Lisbon, OH 44432-8500

Call (330) 424-9573 Map

Fax (330) 424-0877

Mailing address

PO Box 429
Lisbon, OH 44432-0429

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 1770094575

David Wallenhurst, AAS's National Provider Identifier is 1770094575, issued on Oct 19, 2017. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Lisbon, OH. The record was last updated on Oct 19, 2017.