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Evelyn Elaine Dement-thomas
Peer Specialist in Bloomingburg, Ohio
NPI 1063148658

Evelyn Elaine Dement-thomas is a Peer Specialist based in Bloomingburg, OH. Evelyn Elaine Dement-thomas practices in Bloomingburg, OH. The NPI Number for Evelyn Elaine Dement-thomas is 1063148658 and holds a License No. (Ohio).

The current practice location address for Evelyn Elaine Dement-thomas is 42 Wayne St, Bloomingburg, OH and can be reached out via phone at 937-403-5421.

Location: 42 Wayne St, Bloomingburg, OH, 43106-0317
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063148658
Provider Name
Evelyn Elaine Dement-thomas
Credential
Provider Entity Type
Individual
Gender
Female
Address
42 Wayne St, Bloomingburg, OH, 43106-0317
Phone Number
937-403-5421
Fax Number
Provider Enumeration Date
07/27/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
42 Wayne St
City
Bloomingburg
State
Ohio
Zip
43106-9009
Phone Number
937-403-5421
Fax Number
person
Provider Business Mailing Address Details
Address
42 Wayne St
City
Bloomingburg
State
Ohio
Zip
43106-9009
Phone Number
937-403-5421
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
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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