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Ms. Jenette Marie Stark
Peer Specialist in Greenville, Ohio
NPI 1114659653

Jenette Marie Stark is a Peer Specialist based in Lima, OH. Jenette Marie Stark practices in Greenville, OH. The NPI Number for Jenette Marie Stark is 1114659653 and holds a License No. (Ohio).

The current practice location address for Jenette Marie Stark is 209 E 4Th St, Greenville, OH and can be reached out via phone at 567-371-4418.

Location: 209 E 4Th St, Greenville, OH, 45804-1240
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114659653
Provider Name
Jenette Marie Stark
Credential
Provider Entity Type
Individual
Gender
Female
Address
209 E 4Th St, Greenville, OH, 45804-1240
Phone Number
567-371-4418
Fax Number
Provider Enumeration Date
06/24/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
209 E 4Th St
City
Greenville
State
Ohio
Zip
45331-1939
Phone Number
567-371-4418
Fax Number
person
Provider Business Mailing Address Details
Address
209 E 4Th St
City
Greenville
State
Ohio
Zip
45331-1939
Phone Number
567-371-4418
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
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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