Destiny Surber
Peer Specialist in Columbus, OH. Individual provider (NPI-1).
NPI number1629644331
StatusActive
Last updated in NPPESJun 2, 2021
Details
- NPI
- 1629644331
- Entity type
- Individual (NPI-1)
- Name
- Destiny Surber
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 2, 2021
- Certification date
- Jun 2, 2021
- Last updated
- Jun 2, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | OH | Yes |
Practice location
4000 E Main StColumbus, OH 43213-2950
Phone 614-334-6903
Mailing address
4000 E Main StColumbus, OH 43213-2950
Phone 614-334-6903
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