Sandra Wallen is a Peer Specialist based in Kent, OH. Sandra Wallen practices in Lima, OH. The NPI Number for Sandra Wallen is 1063009215 and holds a License No. (Ohio).
The current practice location address for Sandra Wallen is 799 S Main St, Lima, OH and can be reached out via phone at 419-229-2222.
Location: 799 S Main St, Lima, OH, 44240-8100
Provider Profile Details
NPI Number
1063009215
Provider Name
Sandra Wallen
Credential
Provider Entity Type
Individual
Gender
Female
Address
799 S Main St, Lima, OH, 44240-8100
Phone Number
419-229-2222
Fax Number
Provider Enumeration Date
12/22/2020
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
799 S Main St
City
State
Zip
45804-1519
Phone Number
419-229-2222
Fax Number
Provider Business Mailing Address Details
Address
799 S Main St
City
State
Zip
45804-1519
Phone Number
419-229-2222
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
(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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