Misty Nicole Breedlove
Peer Specialist in Ironton, OH. Individual provider (NPI-1).
NPI number1134845134
StatusActive
Last updated in NPPESJan 4, 2023
Details
- NPI
- 1134845134
- Entity type
- Individual (NPI-1)
- Name
- Misty Nicole Breedlove
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 12, 2022
- Certification date
- Jan 4, 2023
- Last updated
- Jan 4, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | APS.003673 | – | Yes |
| 251B00000X | Case Management | – | – |
Practice location
81 Township Road 349Ironton, OH 45638-8617
Phone 740-442-7758
Mailing address
81 Township Road 349Ironton, OH 45638-8617
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All 45 Peer Specialist providers in Ironton · All 1,357 providers in Ironton
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