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Jack E Wolff, PEERSUPPORT
Peer Specialist in Warren, Ohio
NPI 1265068498

Jack E Wolff is a Peer Specialist based in Warren, OH. Jack E Wolff practices in Warren, OH and has the professional credentials of PEERSUPPORT. The NPI Number for Jack E Wolff is 1265068498 and holds a License No. (Ohio).

The current practice location address for Jack E Wolff is 2934 Carlton Dr Nw, Warren, OH and can be reached out via phone at 234-830-5275.

Location: 2934 Carlton Dr Nw, Warren, OH, 44485-1220
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265068498
Provider Name
Jack E Wolff
Credential
PEERSUPPORT
Provider Entity Type
Individual
Gender
Male
Address
2934 Carlton Dr Nw, Warren, OH, 44485-1220
Phone Number
234-830-5275
Fax Number
Provider Enumeration Date
03/19/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2934 Carlton Dr Nw
City
Warren
State
Ohio
Zip
44485-1220
Phone Number
234-830-5275
Fax Number
person
Provider Business Mailing Address Details
Address
2934 Carlton Dr Nw
City
Warren
State
Ohio
Zip
44485-1220
Phone Number
234-830-5275
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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