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Misty Shannon Mosholder
Peer Specialist in Newark, Ohio
NPI 1609489087

Misty Shannon Mosholder is a Peer Specialist based in Newark, OH. Misty Shannon Mosholder practices in Newark, OH. The NPI Number for Misty Shannon Mosholder is 1609489087 and holds a License No. 0001846 (Ohio).

The current practice location address for Misty Shannon Mosholder is 184 Cherry Bend Dr, Newark, OH and can be reached out via phone at 740-644-2988.

Location: 184 Cherry Bend Dr, Newark, OH, 43055-1370
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609489087
Provider Name
Misty Shannon Mosholder
Credential
Provider Entity Type
Individual
Gender
Female
Address
184 Cherry Bend Dr, Newark, OH, 43055-1370
Phone Number
740-644-2988
Fax Number
Provider Enumeration Date
08/26/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
184 Cherry Bend Dr
City
Newark
State
Ohio
Zip
43055-1370
Phone Number
740-644-2988
Fax Number
person
Provider Business Mailing Address Details
Address
184 Cherry Bend Dr
City
Newark
State
Ohio
Zip
43055-1370
Phone Number
740-644-2988
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
0001846 (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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