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Michael Allen Wildroudt II
Peer Specialist in Zanesville, Ohio
NPI 1639758071

Michael Allen Wildroudt II is a Peer Specialist based in Zanesville, OH. Michael Allen Wildroudt II practices in Zanesville, OH. The NPI Number for Michael Allen Wildroudt II is 1639758071 and holds a License No. (Ohio).

The current practice location address for Michael Allen Wildroudt II is 2529 Maple Ave, Zanesville, OH and can be reached out via phone at 740-680-0498. You can also correspond with Michael Allen Wildroudt II through the mailing address at 2529 MAPLE AVE, ZANESVILLE, OH - 43701-1833 (mailing address contact number: 740-680-0498).

Location: 2529 Maple Ave, Zanesville, OH, 43701-1833
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639758071
Provider Name
Michael Allen Wildroudt II
Credential
Provider Entity Type
Individual
Gender
Male
Address
2529 Maple Ave, Zanesville, OH, 43701-1833
Phone Number
740-680-0498
Fax Number
Provider Enumeration Date
04/05/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2529 Maple Ave
City
Zanesville
State
Ohio
Zip
43701-1833
Phone Number
740-680-0498
Fax Number
person
Provider Business Mailing Address Details
Address
2529 Maple Ave
City
Zanesville
State
Ohio
Zip
43701-1833
Phone Number
740-680-0498
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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