Jon Levi Lange is a Peer Specialist based in Niles, OH. Jon Levi Lange practices in Niles, OH. The NPI Number for Jon Levi Lange is 1861020521 and holds a License No. (Ohio).
The current practice location address for Jon Levi Lange is 721 Harris St, Niles, OH and can be reached out via phone at 330-775-8267.
Location: 721 Harris St, Niles, OH, 44446-2423
Provider Profile Details
NPI Number
1861020521
Provider Name
Jon Levi Lange
Credential
Provider Entity Type
Individual
Gender
Male
Address
721 Harris St, Niles, OH, 44446-2423
Phone Number
330-775-8267
Fax Number
Provider Enumeration Date
03/30/2020
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
721 Harris St
City
State
Zip
44446-2423
Phone Number
330-775-8267
Fax Number
Provider Business Mailing Address Details
Address
721 Harris St
City
State
Zip
44446-2423
Phone Number
330-775-8267
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
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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