Individual provider · Type 1 NPI

David Blaine

Peer Specialist · Lorain, OH

NPI number 1942017017 Active

Practice location

6140 S Broadway
Lorain, OH 44053-3821

Call (440) 233-7232 Map

Mailing address

6140 South Broadway
Lorain, OH 44053-3821

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XAPS.000193 (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 1942017017

David Blaine's National Provider Identifier is 1942017017, issued on Dec 12, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Lorain, OH. The record was last updated on Dec 12, 2024.