Individual provider · Type 1 NPI

Dalton S. Shaw

Peer Specialist · Elizabethtown, KY

NPI number 1366254708 Active

Practice location

100 Par Ln
Elizabethtown, KY 42701-9023

Call (270) 312-2500 Map

Mailing address

211 Ponderosa Dr
Elizabethtown, KY 42701-2668

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X1202722 (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.

2 other providers at this address

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About NPI 1366254708

Dalton S. Shaw's National Provider Identifier is 1366254708, issued on Jan 23, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Elizabethtown, KY. The record was last updated on Jan 28, 2025.