Individual provider · Type 1 NPI
Kandyce Ivory Wilson
Peer Specialist · Rocky River, OH
NPI number
1902496342
Active
Practice location
1692 Lakeview Ave
Rocky River, OH 44116-2443
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | None 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.
Other peer specialist providers in Rocky River
About NPI 1902496342
Kandyce Ivory Wilson's National Provider Identifier is 1902496342, issued on Jan 20, 2021. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Rocky River, OH. The record was last updated on Jan 20, 2021.