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Mary Nichole Funkhouser
Peer Specialist in Springboro, Ohio
NPI 1457117954

Mary Nichole Funkhouser is a Peer Specialist based in Springboro, OH. Mary Nichole Funkhouser practices in Springboro, OH. The NPI Number for Mary Nichole Funkhouser is 1457117954 and holds a License No. (Ohio).

The current practice location address for Mary Nichole Funkhouser is 325 N Main St Ste 200, Springboro, OH and can be reached out via phone at 937-768-2547.

Location: 325 N Main St Ste 200, Springboro, OH, 45066-8005
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457117954
Provider Name
Mary Nichole Funkhouser
Credential
Provider Entity Type
Individual
Gender
Female
Address
325 N Main St Ste 200, Springboro, OH, 45066-8005
Phone Number
937-768-2547
Fax Number
Provider Enumeration Date
02/22/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
325 N Main St Ste 200
City
Springboro
State
Ohio
Zip
45066-8005
Phone Number
937-768-2547
Fax Number
person
Provider Business Mailing Address Details
Address
325 N Main St Ste 200
City
Springboro
State
Ohio
Zip
45066-8005
Phone Number
937-768-2547
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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