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Kylee A Vasquez
Peer Specialist in Fayette, Ohio
NPI 1275048605

Kylee A Vasquez is a Peer Specialist based in Fayette, OH. Kylee A Vasquez practices in Fayette, OH. The NPI Number for Kylee A Vasquez is 1275048605 and holds a License No. (Ohio).

The current practice location address for Kylee A Vasquez is 25212 Us Highway 20, Fayette, OH and can be reached out via phone at 419-237-3103 and via fax at 419-237-4044.

Location: 25212 Us Highway 20, Fayette, OH, 43521-9511
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275048605
Provider Name
Kylee A Vasquez
Credential
Provider Entity Type
Individual
Gender
Female
Address
25212 Us Highway 20, Fayette, OH, 43521-9511
Phone Number
419-237-3103
Fax Number
419-237-4044
Provider Enumeration Date
12/07/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CDCA.140402 01 OH LICENSE
institution
Provider Business Practice Location Address Details
Address
25212 Us Highway 20
City
Fayette
State
Ohio
Zip
43521-9511
Phone Number
419-237-3103
Fax Number
419-237-4044
person
Provider Business Mailing Address Details
Address
25212 Us Highway 20
City
Fayette
State
Ohio
Zip
43521-9511
Phone Number
419-237-3103
Fax Number
419-237-4044
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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