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Angela Nicole Myrick
Peer Specialist in Lorain, Ohio
NPI 1003378100

Angela Nicole Myrick is a Peer Specialist based in Lorain, OH. Angela Nicole Myrick practices in Lorain, OH. The NPI Number for Angela Nicole Myrick is 1003378100 and holds a License No. 001030 (Ohio).

The current practice location address for Angela Nicole Myrick is 1117 Euclid Ave, Lorain, OH and can be reached out via phone at 440-752-9806. You can also correspond with Angela Nicole Myrick through the mailing address at 1117 EUCLID AVE, LORAIN, OH - 44052-2703 (mailing address contact number: 440-752-9806).

Location: 1117 Euclid Ave, Lorain, OH, 44052-2703
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003378100
Provider Name
Angela Nicole Myrick
Credential
Provider Entity Type
Individual
Gender
Female
Address
1117 Euclid Ave, Lorain, OH, 44052-2703
Phone Number
440-752-9806
Fax Number
Provider Enumeration Date
04/05/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
175T00000X 05 OH
institution
Provider Business Practice Location Address Details
Address
1117 Euclid Ave
City
Lorain
State
Ohio
Zip
44052-2703
Phone Number
440-752-9806
Fax Number
person
Provider Business Mailing Address Details
Address
1117 Euclid Ave
City
Lorain
State
Ohio
Zip
44052-2703
Phone Number
440-752-9806
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
001030 (Ohio)
Definition
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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