Renee T. Havel, 175TOOOOOX
Peer Specialist in Willoughby, OH. Individual provider (NPI-1).
NPI number1104491927
StatusActive
Last updated in NPPESMay 24, 2021
Details
- NPI
- 1104491927
- Entity type
- Individual (NPI-1)
- Name
- Renee T. Havel
- Credential
- 175TOOOOOX
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 24, 2021
- Certification date
- May 24, 2021
- Last updated
- May 24, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | 0002346 | OH | Yes |
| 175T00000X | Peer Specialist | – | – |
Practice location
38350 Oak Hill Ln Apt 2Willoughby, OH 44094-7618
Phone 440-796-8410
Mailing address
38350 Oak Hill Ln Apt 2Willoughby, OH 44094-7618
Phone 440-796-8410
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