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Nicole Osborne
Peer Specialist in Canton, Ohio
NPI 1609378322

Nicole Osborne is a Peer Specialist based in Canton, OH. Nicole Osborne practices in Canton, OH. The NPI Number for Nicole Osborne is 1609378322 and holds a License No. (Ohio).

The current practice location address for Nicole Osborne is 624 Market Ave N, Canton, OH and can be reached out via phone at 330-479-1912 and via fax at 330-479-1916.

Location: 624 Market Ave N, Canton, OH, 44702-1017
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609378322
Provider Name
Nicole Osborne
Credential
Provider Entity Type
Individual
Gender
Female
Address
624 Market Ave N, Canton, OH, 44702-1017
Phone Number
330-479-1912
Fax Number
330-479-1916
Provider Enumeration Date
03/08/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0191691 05 OH
institution
Provider Business Practice Location Address Details
Address
624 Market Ave N
City
Canton
State
Ohio
Zip
44702
Phone Number
330-479-1912
Fax Number
330-479-1916
person
Provider Business Mailing Address Details
Address
624 Market Ave N
City
Canton
State
Ohio
Zip
44702
Phone Number
330-479-1912
Fax Number
330-479-1916
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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