person
Jacob Bonner
Peer Specialist in Cleveland, Ohio
NPI 1104588789

Jacob Bonner is a Peer Specialist based in Cleveland, OH. Jacob Bonner practices in Cleveland, OH. The NPI Number for Jacob Bonner is 1104588789 and holds a License No. (Ohio).

The current practice location address for Jacob Bonner is 13377 Smith Rd, Cleveland, OH and can be reached out via phone at 440-340-5558 and via fax at 440-340-5575.

Location: 13377 Smith Rd, Cleveland, OH, 44130-7810
person
Provider Profile Details
NPI Number
1104588789
Provider Name
Jacob Bonner
Credential
Provider Entity Type
Individual
Gender
Male
Address
13377 Smith Rd, Cleveland, OH, 44130-7810
Phone Number
440-340-5558
Fax Number
440-340-5575
Provider Enumeration Date
10/11/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
13377 Smith Rd
City
State
Zip
44130-7810
Phone Number
440-340-5558
Fax Number
440-340-5575
person
Provider Business Mailing Address Details
Address
13377 Smith Rd
City
State
Zip
44130-7810
Phone Number
440-340-5558
Fax Number
440-340-5575
person
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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