person
Kendall Renee Lillard
Peer Specialist in Cincinnati, Ohio
NPI 1558878611

Kendall Renee Lillard is a Peer Specialist based in Cincinnati, OH. Kendall Renee Lillard practices in Cincinnati, OH. The NPI Number for Kendall Renee Lillard is 1558878611 and holds a License No. CDCA.164850 (Ohio).

The current practice location address for Kendall Renee Lillard is 2203 Fulton Ave, Cincinnati, OH and can be reached out via phone at 513-961-4663 and via fax at 513-961-4681. You can also correspond with Kendall Renee Lillard through the mailing address at 10216 SNOWFLAKE LN, CINCINNATI, OH - 45251-1211 (mailing address contact number: 513-918-8062).

Location: 2203 Fulton Ave, Cincinnati, OH, 45251-1211
person
Provider Profile Details
NPI Number
1558878611
Provider Name
Kendall Renee Lillard
Credential
Provider Entity Type
Individual
Gender
Female
Address
2203 Fulton Ave, Cincinnati, OH, 45251-1211
Phone Number
513-961-4663
Fax Number
513-961-4681
Provider Enumeration Date
01/10/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2203 Fulton Ave
City
State
Zip
45206
Phone Number
513-961-4663
Fax Number
513-961-4681
person
Provider Business Mailing Address Details
Address
10216 Snowflake Ln
City
State
Zip
45251-1211
Phone Number
513-918-8062
Fax Number
513-818-4680
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
00483 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
CDCA.164850 (Ohio)
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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