Kenyetta S Douglass
Kenyetta S Douglass is a Peer Specialist in Canton, Ohio. Licensed in Ohio. Registered with an NPI since 2025.
- Licensed in
- OH
- In the registry since
- 2025
Practice location Address checks out
131 Wertz Ave NWCanton, OH 44708-4171
Phone: (234) 214-8470
Fax: (234) 214-8471
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X · Licence APS.005628 (OH) |
|---|
Record details
| NPI number | 1013719152 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 27, 2025 |
| Last updated in NPPES | March 27, 2025 |
| Certification date | March 27, 2025 |
| Mailing address | 131 Wertz Ave. Nw, Canton, OH 44708-4171 |
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