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Kristen Michelle Jacob
Peer Specialist in Kenton, Ohio
NPI 1710487525

Kristen Michelle Jacob is a Peer Specialist based in Kent, OH. Kristen Michelle Jacob practices in Kenton, OH. The NPI Number for Kristen Michelle Jacob is 1710487525 and holds a License No. (Ohio).

The current practice location address for Kristen Michelle Jacob is 775 E Eliza St, Kenton, OH and can be reached out via phone at 419-675-2243 and via fax at 419-674-4661.

Location: 775 E Eliza St, Kenton, OH, 44240
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710487525
Provider Name
Kristen Michelle Jacob
Credential
Provider Entity Type
Individual
Gender
Female
Address
775 E Eliza St, Kenton, OH, 44240
Phone Number
419-675-2243
Fax Number
419-674-4661
Provider Enumeration Date
02/19/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
775 E Eliza St
City
Kenton
State
Ohio
Zip
43326-1486
Phone Number
419-675-2243
Fax Number
419-674-4661
person
Provider Business Mailing Address Details
Address
775 E Eliza St
City
Kenton
State
Ohio
Zip
43326-1486
Phone Number
419-675-2243
Fax Number
419-674-4661
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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