Individual provider · Type 1 NPI

Michael D. Thedford

Peer Specialist · Louisville, KY

NPI number 1366222812 Active

Practice location

4106 Flintlock Dr
Louisville, KY 40216-1534

Call (502) 715-6792 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X1211944 (KY)

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 1366222812

Michael D. Thedford's National Provider Identifier is 1366222812, issued on Oct 3, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Louisville, KY. The record was last updated on Oct 3, 2023.