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Derek John Pidgeon, CPS
Peer Specialist in Mansfield, Ohio
NPI 1902384175

Derek John Pidgeon is a Peer Specialist based in Mansfield, OH. Derek John Pidgeon practices in Mansfield, OH and has the professional credentials of CPS. The NPI Number for Derek John Pidgeon is 1902384175 and holds a License No. 103 (Ohio).

The current practice location address for Derek John Pidgeon is 400 Bowman St, Mansfield, OH and can be reached out via phone at 419-525-3525.

Location: 400 Bowman St, Mansfield, OH, 44904-8676
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902384175
Provider Name
Derek John Pidgeon
Credential
CPS
Provider Entity Type
Individual
Gender
Male
Address
400 Bowman St, Mansfield, OH, 44904-8676
Phone Number
419-525-3525
Fax Number
Provider Enumeration Date
07/31/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
400 Bowman St
City
Mansfield
State
Ohio
Zip
44903-1235
Phone Number
419-525-3525
Fax Number
person
Provider Business Mailing Address Details
Address
400 Bowman St
City
Mansfield
State
Ohio
Zip
44903-1235
Phone Number
419-525-3525
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
103 (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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