Individual provider · Type 1 NPI

Ellis Martinez Graham Jr.

Peer Specialist · North Olmsted, OH

NPI number 1962025486 Active

Practice location

24695 Maple Ridge Rd
North Olmsted, OH 44070-1274

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 1962025486

Ellis Martinez Graham Jr.'s National Provider Identifier is 1962025486, issued on May 19, 2020. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in North Olmsted, OH. The record was last updated on May 19, 2020.