Individual provider · Type 1 NPI

Dustin Cannon

Peer Specialist · Hopkinsville, KY

NPI number 1891200036 Active

Practice location

737B North Drive
Hopkinsville, KY 42240

Call (270) 890-1780 Map

Fax (270) 890-1789

Mailing address

3999 Fort Campbell Blvd
Hopkinsville, KY 42240-4929

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 1891200036

Dustin Cannon's National Provider Identifier is 1891200036, issued on Dec 11, 2017. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Hopkinsville, KY. The record was last updated on Dec 11, 2017.