Individual provider · Type 1 NPI

Kenneth Ray Russell

Peer Specialist · Louisa, KY

NPI number 1053067074 Active

Practice location

125 S Main Cross St Ste 202
Louisa, KY 41230-1065

Call (606) 638-0938 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

6 other providers at this address

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About NPI 1053067074

Kenneth Ray Russell's National Provider Identifier is 1053067074, issued on Feb 28, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Louisa, KY. The record was last updated on Feb 28, 2022.