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David Wallenhurst, AAS
Peer Specialist in Lisbon, Ohio
NPI 1770094575

David Wallenhurst is a Peer Specialist based in Lisbon, OH. David Wallenhurst practices in Lisbon, OH and has the professional credentials of AAS. The NPI Number for David Wallenhurst is 1770094575 and holds a License No. (Ohio).

The current practice location address for David Wallenhurst is 40722 State Route 154, Lisbon, OH and can be reached out via phone at 330-424-9573 and via fax at 330-424-0877.

Location: 40722 State Route 154, Lisbon, OH, 44432-0429
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770094575
Provider Name
David Wallenhurst
Credential
AAS
Provider Entity Type
Individual
Gender
Male
Address
40722 State Route 154, Lisbon, OH, 44432-0429
Phone Number
330-424-9573
Fax Number
330-424-0877
Provider Enumeration Date
10/19/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
40722 State Route 154
City
Lisbon
State
Ohio
Zip
44432-8500
Phone Number
330-424-9573
Fax Number
330-424-0877
person
Provider Business Mailing Address Details
Address
40722 State Route 154
City
Lisbon
State
Ohio
Zip
44432-8500
Phone Number
330-424-9573
Fax Number
330-424-0877
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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