Individual provider · Type 1 NPI

Dustin Moore

Peer Specialist · Louisa, KY

NPI number 1811533102 Active

Practice location

60 Professional Park Dr
Louisa, KY 41230-9644

Call (606) 329-8588 Map

Mailing address

PO Box 790
Ashland, KY 41105-0790

Other practice locations

  • 125 S Main Cross St, Louisa, KY 41230-1065 · (606) 638-0938

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 1811533102

Dustin Moore's National Provider Identifier is 1811533102, issued on Nov 21, 2019. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Louisa, KY. The record was last updated on Apr 19, 2021.