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Richard Ingram
Peer Specialist in Austintown, Ohio
NPI 1952042343

Richard Ingram is a Peer Specialist based in Austintown, OH. Richard Ingram practices in Austintown, OH. The NPI Number for Richard Ingram is 1952042343 and holds a License No. APS.003085 (Ohio).

The current practice location address for Richard Ingram is 5760 Patriot Blvd, Austintown, OH and can be reached out via phone at 330-953-0243.

Location: 5760 Patriot Blvd, Austintown, OH, 44515-1170
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952042343
Provider Name
Richard Ingram
Credential
Provider Entity Type
Individual
Gender
Male
Address
5760 Patriot Blvd, Austintown, OH, 44515-1170
Phone Number
330-953-0243
Fax Number
Provider Enumeration Date
04/07/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5760 Patriot Blvd
City
Austintown
State
Ohio
Zip
44515-1170
Phone Number
330-953-0243
Fax Number
person
Provider Business Mailing Address Details
Address
5760 Patriot Blvd
City
Austintown
State
Ohio
Zip
44515-1170
Phone Number
330-953-0243
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
APS.003085 (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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