NPI 1033995972

Kennedy Faith Wilbert, CYPSOCPSA

Practitioner Prevention Professional Lorain, OH

Practice location

Address: 2115 W Park Dr, Lorain, OH 44053-1138
Phone: (440) 989-4900

Registered specialties (2)

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence OCPSA.161928 (OH)

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Peer Specialist

Other Service Providers Taxonomy 175T00000X Licence YPS.000014 (OH)

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Registry record

NPI: 1033995972
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Sep 2023
Record last updated: 6 Sep 2023

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.