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Matthew Kellough, PRS
Peer Specialist in Lancaster, Ohio
NPI 1265158273

Matthew Kellough is a Peer Specialist based in Sugar Grove, OH. Matthew Kellough practices in Lancaster, OH and has the professional credentials of PRS. The NPI Number for Matthew Kellough is 1265158273 and holds a License No. (Ohio).

The current practice location address for Matthew Kellough is 551 E Main St, Lancaster, OH and can be reached out via phone at 614-404-6008.

Location: 551 E Main St, Lancaster, OH, 43155-0243
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265158273
Provider Name
Matthew Kellough
Credential
PRS
Provider Entity Type
Individual
Gender
Male
Address
551 E Main St, Lancaster, OH, 43155-0243
Phone Number
614-404-6008
Fax Number
Provider Enumeration Date
10/12/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
551 E Main St
City
Lancaster
State
Ohio
Zip
43130-3809
Phone Number
614-404-6008
Fax Number
person
Provider Business Mailing Address Details
Address
551 E Main St
City
Lancaster
State
Ohio
Zip
43130-3809
Phone Number
614-404-6008
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
APS.003590 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
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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