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Mrs. Nicole Leeann Shover
Peer Specialist in Kent, Ohio
NPI 1801466214

Nicole Leeann Shover is a Peer Specialist based in Kent, OH. Nicole Leeann Shover practices in Kent, OH. The NPI Number for Nicole Leeann Shover is 1801466214 and holds a License No. 0002543 (Ohio).

The current practice location address for Nicole Leeann Shover is 785 Silver Meadows Blvd, Kent, OH and can be reached out via phone at 330-474-3188 and via fax at 330-673-6663.

Location: 785 Silver Meadows Blvd, Kent, OH, 44240-1919
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801466214
Provider Name
Nicole Leeann Shover
Credential
Provider Entity Type
Individual
Gender
Female
Address
785 Silver Meadows Blvd, Kent, OH, 44240-1919
Phone Number
330-474-3188
Fax Number
330-673-6663
Provider Enumeration Date
06/28/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
785 Silver Meadows Blvd
City
Kent
State
Ohio
Zip
44240-1919
Phone Number
330-474-3188
Fax Number
330-673-6663
person
Provider Business Mailing Address Details
Address
785 Silver Meadows Blvd
City
Kent
State
Ohio
Zip
44240-1919
Phone Number
330-474-3188
Fax Number
330-673-6663
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
0002543 (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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