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Kenneth Ray Herring JR.
Peer Specialist in Canton, Ohio
NPI 1568012466

Kenneth Ray Herring JR. is a Peer Specialist based in Canton, OH. Kenneth Ray Herring JR. practices in Canton, OH. The NPI Number for Kenneth Ray Herring JR. is 1568012466 and holds a License No. (Ohio).

The current practice location address for Kenneth Ray Herring JR. is 601 Cleveland Ave Nw, Canton, OH and can be reached out via phone at 330-455-0374 and via fax at 330-453-6716. You can also correspond with Kenneth Ray Herring JR. through the mailing address at 625 CLEVELAND AVE NW, CANTON, OH - 44702-1805 (mailing address contact number: 330-455-0374).

Location: 601 Cleveland Ave Nw, Canton, OH, 44702-1805
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568012466
Provider Name
Kenneth Ray Herring JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
601 Cleveland Ave Nw, Canton, OH, 44702-1805
Phone Number
330-455-0374
Fax Number
330-453-6716
Provider Enumeration Date
09/13/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
601 Cleveland Ave Nw
City
Canton
State
Ohio
Zip
44702-1836
Phone Number
330-455-0374
Fax Number
330-453-6716
person
Provider Business Mailing Address Details
Address
601 Cleveland Ave Nw
City
Canton
State
Ohio
Zip
44702-1836
Phone Number
330-455-0374
Fax Number
330-453-6716
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(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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