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Alonzo Montez Thomas
Peer Specialist in Bloomingburg, Ohio
NPI 1164179537

Alonzo Montez Thomas is a Peer Specialist based in Bloomingburg, OH. Alonzo Montez Thomas practices in Bloomingburg, OH. The NPI Number for Alonzo Montez Thomas is 1164179537 and holds a License No. (Ohio).

The current practice location address for Alonzo Montez Thomas is 42 Wayne St, Bloomingburg, OH and can be reached out via phone at 937-600-2781.

Location: 42 Wayne St, Bloomingburg, OH, 43106-9009
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164179537
Provider Name
Alonzo Montez Thomas
Credential
Provider Entity Type
Individual
Gender
Male
Address
42 Wayne St, Bloomingburg, OH, 43106-9009
Phone Number
937-600-2781
Fax Number
Provider Enumeration Date
03/07/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
17500000X 01 OH PEER SPECIALIST
institution
Provider Business Practice Location Address Details
Address
42 Wayne St
City
Bloomingburg
State
Ohio
Zip
43106-9009
Phone Number
937-600-2781
Fax Number
person
Provider Business Mailing Address Details
Address
42 Wayne St
City
Bloomingburg
State
Ohio
Zip
43106-9009
Phone Number
937-600-2781
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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