Individual
MARK SHEHANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PEER SUPPORTER
Contact information
Practice address
5760 PATRIOT BLVD, AUSTINTOWN, OH 44515-1170
(330) 953-0243
Mailing address
710 KENMORE AVE NE, WARREN, OH 44483-4232
(330) 770-9657
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
—
OH
Other
Enumeration date
02/27/2020
Last updated
04/03/2020
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