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Justin Lars Larson, CDCA,CPRS
Peer Specialist in Girard, Ohio
NPI 1922570100

Justin Lars Larson is a Peer Specialist based in Girard, OH. Justin Lars Larson practices in Girard, OH and has the professional credentials of CDCA,CPRS. The NPI Number for Justin Lars Larson is 1922570100 and holds a License No. 00566 (Ohio).

The current practice location address for Justin Lars Larson is 412 Ohio Ave, Girard, OH and can be reached out via phone at 330-314-6647.

Location: 412 Ohio Ave, Girard, OH, 44420-3244
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922570100
Provider Name
Justin Lars Larson
Credential
CDCA,CPRS
Provider Entity Type
Individual
Gender
Male
Address
412 Ohio Ave, Girard, OH, 44420-3244
Phone Number
330-314-6647
Fax Number
Provider Enumeration Date
12/27/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
412 Ohio Ave
City
Girard
State
Ohio
Zip
44420-3244
Phone Number
330-314-6647
Fax Number
person
Provider Business Mailing Address Details
Address
412 Ohio Ave
City
Girard
State
Ohio
Zip
44420-3244
Phone Number
330-314-6647
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
00566 (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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