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Jason Lamont Purifie
Peer Specialist in Beachwood, Ohio
NPI 1922600154

Jason Lamont Purifie is a Peer Specialist based in Beachwood, OH. Jason Lamont Purifie practices in Beachwood, OH. The NPI Number for Jason Lamont Purifie is 1922600154 and holds a License No. 0002064 (Ohio).

The current practice location address for Jason Lamont Purifie is 25201 Chagrin Blvd Ste 390, Beachwood, OH and can be reached out via phone at 216-910-9015 and via fax at 216-910-9015. You can also correspond with Jason Lamont Purifie through the mailing address at 25201 CHAGRIN BLVD STE 390, BEACHWOOD, OH - 44122-5637 (mailing address contact number: 216-910-9015).

Location: 25201 Chagrin Blvd Ste 390, Beachwood, OH, 44122-5637
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922600154
Provider Name
Jason Lamont Purifie
Credential
Provider Entity Type
Individual
Gender
Male
Address
25201 Chagrin Blvd Ste 390, Beachwood, OH, 44122-5637
Phone Number
216-910-9015
Fax Number
216-910-9015
Provider Enumeration Date
11/12/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
25201 Chagrin Blvd Ste 390
City
Beachwood
State
Ohio
Zip
44122-5637
Phone Number
216-910-9015
Fax Number
216-910-9015
person
Provider Business Mailing Address Details
Address
25201 Chagrin Blvd Ste 390
City
Beachwood
State
Ohio
Zip
44122-5637
Phone Number
216-910-9015
Fax Number
216-910-9015
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
0002064 (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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