Individual provider · Type 1 NPI
Ragen Kelsey Medlock I
Peer Specialist · Chattanooga, TN
NPI number
1295543593
Active
Practice location
960 Airport Rd
Chattanooga, TN 37421-3530
Mailing address
200 Tech Center Dr
Knoxville, TN 37912-2747
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | None 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.
3 other providers at this address
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About NPI 1295543593
Ragen Kelsey Medlock I's National Provider Identifier is 1295543593, issued on Dec 19, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Chattanooga, TN. The record was last updated on Dec 19, 2024.