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Richard Kyle Jason

Peer Specialist in Maple Heights, OH. Individual provider (NPI-1).

NPI number1669967774
StatusActive
Last updated in NPPESJun 30, 2018

Details

NPI
1669967774
Entity type
Individual (NPI-1)
Name
Richard Kyle Jason
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 30, 2018
Last updated
Jun 30, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist–OHYes

Practice location

14617 Brunswick Ave
Maple Heights, OH 44137-3815

Phone 216-376-4345

Mailing address

14617 Brunswick Ave
Maple Heights, OH 44137-3815

Phone 216-376-4345

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Other Peer Specialist providers in Maple Heights, OH

All 8 Peer Specialist providers in Maple Heights · All 771 providers in Maple Heights

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