Provider Demographics
NPI:1710426291
Name:VALENTINE, AARON (CMHW)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:VALENTINE
Suffix:
Gender:M
Credentials:CMHW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:OHIO GUIDESTONE 434 EASTLAND ROAD
Mailing Address - Street 2:
Mailing Address - City:BEREA
Mailing Address - State:OH
Mailing Address - Zip Code:44017-2006
Mailing Address - Country:US
Mailing Address - Phone:440-234-2006
Mailing Address - Fax:
Practice Address - Street 1:401 WEST TUSCARAWAS STREET
Practice Address - Street 2:SUITE 501
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44702
Practice Address - Country:US
Practice Address - Phone:440-260-8300
Practice Address - Fax:330-438-1748
Is Sole Proprietor?:No
Enumeration Date:2017-02-17
Last Update Date:2020-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker