Individual provider · Type 1 NPI

Shasta Wease

Peer Specialist · Elizabethtown, KY

NPI number 1255057402 Active

Practice location

907 N Mulberry St Ste 200
Elizabethtown, KY 42701-2018

Call (270) 982-7372 Map

Fax (270) 982-7372

Mailing address

2810 Frontier Ct Apt 1
Radcliff, KY 40160-9075

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.

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About NPI 1255057402

Shasta Wease's National Provider Identifier is 1255057402, issued on Oct 18, 2022. 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, 2022.