Individual provider · Type 1 NPI

Melissa Dawn Cannon

Peer Specialist · Elizabethtown, KY

NPI number 1245012871 Active

Practice location

308 Rosedale Dr
Elizabethtown, KY 42701-1530

Call (270) 750-8574 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000X1212515 (KY)
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.

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About NPI 1245012871

Melissa Dawn Cannon's National Provider Identifier is 1245012871, issued on Oct 18, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Elizabethtown, KY. The record was last updated on Oct 18, 2023.