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Eric Wayne Good
Peer Specialist in Portsmouth, Ohio
NPI 1336717362

Eric Wayne Good is a Peer Specialist based in Portsmouth, OH. Eric Wayne Good practices in Portsmouth, OH. The NPI Number for Eric Wayne Good is 1336717362 and holds a License No. (Ohio).

The current practice location address for Eric Wayne Good is 1125 Kent St Apt 10L, Portsmouth, OH and can be reached out via phone at 740-250-3641. You can also correspond with Eric Wayne Good through the mailing address at 1404 HARRISONVILLE AVE, PORTSMOUTH, OH - 45662-5141 (mailing address contact number: 740-464-8768).

Location: 1125 Kent St Apt 10L, Portsmouth, OH, 45662-5141
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336717362
Provider Name
Eric Wayne Good
Credential
Provider Entity Type
Individual
Gender
Male
Address
1125 Kent St Apt 10L, Portsmouth, OH, 45662-5141
Phone Number
740-250-3641
Fax Number
Provider Enumeration Date
06/15/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1125 Kent St Apt 10L
City
Portsmouth
State
Ohio
Zip
45662-2570
Phone Number
740-250-3641
Fax Number
person
Provider Business Mailing Address Details
Address
1404 Harrisonville Ave
City
Portsmouth
State
Ohio
Zip
45662-5141
Phone Number
740-464-8768
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.
CDCA.183213 (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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