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Mr. James Matthew Godwin IV
Peer Specialist in Cincinnati, Ohio
NPI 1104690460

James Matthew Godwin IV is a Peer Specialist based in Cincinnati, OH. James Matthew Godwin IV practices in Cincinnati, OH. The NPI Number for James Matthew Godwin IV is 1104690460 and holds a License No. 004433 (Ohio).

The current practice location address for James Matthew Godwin IV is 830 Ezzard Charles Dr, Cincinnati, OH and can be reached out via phone at 513-381-6672.

Location: 830 Ezzard Charles Dr, Cincinnati, OH, 45205-2302
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104690460
Provider Name
James Matthew Godwin IV
Credential
Provider Entity Type
Individual
Gender
Male
Address
830 Ezzard Charles Dr, Cincinnati, OH, 45205-2302
Phone Number
513-381-6672
Fax Number
Provider Enumeration Date
11/08/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
830 Ezzard Charles Dr
City
Cincinnati
State
Ohio
Zip
45214-2525
Phone Number
513-381-6672
Fax Number
person
Provider Business Mailing Address Details
Address
830 Ezzard Charles Dr
City
Cincinnati
State
Ohio
Zip
45214-2525
Phone Number
513-381-6672
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
004433 (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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