NPI 1265158273

Matthew Kellough, PRS

Practitioner Peer Specialist Lancaster, OH

Practice location

Address: 551 E Main St, Lancaster, OH 43130-3809
Phone: (614) 404-6008
Mailing address: PO Box 243, Sugar Grove, OH 43155-0243

Registered specialties (2)

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence APS.003590 (OH)

Other Peer Specialist providers in Ohio →

Addiction (Substance Use Disorder) Counselor

Behavioral Health & Social Service Providers Taxonomy 101YA0400X

Other Counselor providers in Ohio →

Registry record

NPI: 1265158273
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Oct 2022
Record last updated: 13 Oct 2022

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.