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Kenneth Charles Bishop, CDCA,PEERSUPPOT
Peer Specialist in Lyndhurst, Ohio
NPI 1497307946

Kenneth Charles Bishop is a Peer Specialist based in Lyndhurst, OH. Kenneth Charles Bishop practices in Lyndhurst, OH and has the professional credentials of CDCA,PEERSUPPOT. The NPI Number for Kenneth Charles Bishop is 1497307946 and holds a License No. (Ohio).

The current practice location address for Kenneth Charles Bishop is 5257 Ashwood Dr, Lyndhurst, OH and can be reached out via phone at 216-870-9796.

Location: 5257 Ashwood Dr, Lyndhurst, OH, 44124-1037
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497307946
Provider Name
Kenneth Charles Bishop
Credential
CDCA,PEERSUPPOT
Provider Entity Type
Individual
Gender
Male
Address
5257 Ashwood Dr, Lyndhurst, OH, 44124-1037
Phone Number
216-870-9796
Fax Number
Provider Enumeration Date
07/15/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5257 Ashwood Dr
City
Lyndhurst
State
Ohio
Zip
44124-1037
Phone Number
216-870-9796
Fax Number
person
Provider Business Mailing Address Details
Address
5257 Ashwood Dr
City
Lyndhurst
State
Ohio
Zip
44124-1037
Phone Number
216-870-9796
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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