Individual provider · Type 1 NPI

Kenneth Leon Hackman

Peer Specialist · Fort Collins, CO

NPI number 1699558593 Active

Practice location

4856 Innovation Dr Ste B
Fort Collins, CO 80525-5540

Fax (970) 613-4475

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 1699558593

Kenneth Leon Hackman's National Provider Identifier is 1699558593, issued on Aug 15, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Fort Collins, CO. The record was last updated on Aug 15, 2023.