Judy Nicole Middleton, PRS
Peer Specialist in Cincinnati, OH. Individual provider (NPI-1).
NPI number1104698273
StatusActive
Last updated in NPPESOct 23, 2023
Details
- NPI
- 1104698273
- Entity type
- Individual (NPI-1)
- Name
- Judy Nicole Middleton
- Credential
- PRS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 23, 2023
- Certification date
- Oct 23, 2023
- Last updated
- Oct 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | APS.004415 | OH | Yes |
Practice location
1101 Ebenezer RdCincinnati, OH 45233-4846
Phone 513-824-1302
Mailing address
1101 Ebenezer RdCincinnati, OH 45233-4846
Phone 513-824-1302
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