NPI 1003793563

Kurt Jason Eckenrode, CPRS

Practitioner Peer Specialist Warren, OH

Practice location

Address: 1212 Tod Pl NW, Warren, OH 44485-2475
Phone: (330) 469-6822

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1003793563
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Aug 2025
Record last updated: 18 Aug 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.