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Carl Joseph Mandanici
Peer Specialist in Marysville, Ohio
NPI 1871121590

Carl Joseph Mandanici is a Peer Specialist based in Marysville, OH. Carl Joseph Mandanici practices in Marysville, OH. The NPI Number for Carl Joseph Mandanici is 1871121590 and holds a License No. (Ohio).

The current practice location address for Carl Joseph Mandanici is 729 S Walnut St, Marysville, OH and can be reached out via phone at 937-642-9555.

Location: 729 S Walnut St, Marysville, OH, 43040-1236
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871121590
Provider Name
Carl Joseph Mandanici
Credential
Provider Entity Type
Individual
Gender
Male
Address
729 S Walnut St, Marysville, OH, 43040-1236
Phone Number
937-642-9555
Fax Number
Provider Enumeration Date
03/29/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
729 S Walnut St
City
Marysville
State
Ohio
Zip
43040-1643
Phone Number
937-642-9555
Fax Number
person
Provider Business Mailing Address Details
Address
729 S Walnut St
City
Marysville
State
Ohio
Zip
43040-1643
Phone Number
937-642-9555
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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