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Individual
CHRISTINA J. PEGUES
Active
Individual
CHRISTINA J. PEGUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDCIII
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
162555
OH
171M00000X
Case Manager/Care Coordinator
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
342000000X
Transportation Network Company
SS920002
OH
347C00000X
Private Vehicle
SS920002
OH
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2462
—
OH
Enumeration date
05/06/2019
Last updated
07/24/2023
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