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Jon Luster, CPRS
Peer Specialist in Warren, Ohio
NPI 1174241731

Jon Luster is a Peer Specialist based in Warren, OH. Jon Luster practices in Warren, OH and has the professional credentials of CPRS. The NPI Number for Jon Luster is 1174241731 and holds a License No. APS.003480 (Ohio).

The current practice location address for Jon Luster is 1212 Tod Pl Nw, Warren, OH and can be reached out via phone at 330-469-6822 and via fax at 330-294-5641.

Location: 1212 Tod Pl Nw, Warren, OH, 44482-1212
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174241731
Provider Name
Jon Luster
Credential
CPRS
Provider Entity Type
Individual
Gender
Male
Address
1212 Tod Pl Nw, Warren, OH, 44482-1212
Phone Number
330-469-6822
Fax Number
330-294-5641
Provider Enumeration Date
08/19/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
APS.003480 05 OH
institution
Provider Business Practice Location Address Details
Address
1212 Tod Pl Nw
City
Warren
State
Ohio
Zip
44485-2475
Phone Number
330-469-6822
Fax Number
330-294-5641
person
Provider Business Mailing Address Details
Address
1212 Tod Pl Nw
City
Warren
State
Ohio
Zip
44485-2475
Phone Number
330-469-6822
Fax Number
330-294-5641
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
APS.003480 (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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