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Mr. Douglas Patrick Vondrell
Peer Specialist in Lima, Ohio
NPI 1710554522

Douglas Patrick Vondrell is a Peer Specialist based in Lima, OH. Douglas Patrick Vondrell practices in Lima, OH. The NPI Number for Douglas Patrick Vondrell is 1710554522 and holds a License No. (Ohio).

The current practice location address for Douglas Patrick Vondrell is 3090 Yoakam Rd, Lima, OH and can be reached out via phone at 567-204-4365.

Location: 3090 Yoakam Rd, Lima, OH, 45806-1144
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710554522
Provider Name
Douglas Patrick Vondrell
Credential
Provider Entity Type
Individual
Gender
Male
Address
3090 Yoakam Rd, Lima, OH, 45806-1144
Phone Number
567-204-4365
Fax Number
Provider Enumeration Date
06/09/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
910001044390 05 OH
institution
Provider Business Practice Location Address Details
Address
3090 Yoakam Rd
City
Lima
State
Ohio
Zip
45806-1144
Phone Number
567-204-4365
Fax Number
person
Provider Business Mailing Address Details
Address
3090 Yoakam Rd
City
Lima
State
Ohio
Zip
45806-1144
Phone Number
567-204-4365
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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