Mark Shehane, Peer Supporter
Peer Specialist in Austintown, OH. Individual provider (NPI-1).
NPI number1407480577
StatusActive
Last updated in NPPESApr 3, 2020
Details
- NPI
- 1407480577
- Entity type
- Individual (NPI-1)
- Name
- Mark Shehane
- Credential
- Peer Supporter
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 27, 2020
- Certification date
- Apr 3, 2020
- Last updated
- Apr 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | OH | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
5760 Patriot BlvdAustintown, OH 44515-1170
Phone 330-953-0243
Mailing address
710 Kenmore Ave NeWarren, OH 44483-4232
Phone 330-770-9657
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All 41 Peer Specialist providers in Austintown · All 858 providers in Austintown
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