person
Peter Michael Kenyon, CDCA
Addiction (Substance Use Disorder) Counselor in Mansfield, Ohio
NPI 1922691351

Peter Michael Kenyon is an Addiction (Substance Use Disorder) Counselor based in Mansfield, OH and is specialized in Addiction (Substance Use Disorder). Peter Michael Kenyon practices in Mansfield, OH and has the professional credentials of CDCA. The NPI Number for Peter Michael Kenyon is 1922691351 and holds a License No. (Ohio).

The current practice location address for Peter Michael Kenyon is 600 Russell Rd, Mansfield, OH and can be reached out via phone at 419-612-6372. You can also correspond with Peter Michael Kenyon through the mailing address at 445 GLESSNER AVE, MANSFIELD, OH - 44903-2141 (mailing address contact number: 419-612-6372).

Location: 600 Russell Rd, Mansfield, OH, 44903-2141
person
Provider Profile Details
NPI Number
1922691351
Provider Name
Peter Michael Kenyon
Credential
CDCA
Provider Entity Type
Individual
Gender
Male
Address
600 Russell Rd, Mansfield, OH, 44903-2141
Phone Number
419-612-6372
Fax Number
Provider Enumeration Date
02/17/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
600 Russell Rd
City
State
Zip
44903-1931
Phone Number
419-612-6372
Fax Number
person
Provider Business Mailing Address Details
Address
600 Russell Rd
City
State
Zip
44903-1931
Phone Number
419-612-6372
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CDCA.185626 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
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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