Individual provider · Type 1 NPI

Kennedy Shores

Peer Specialist · Norfolk, NE

NPI number 1891500526 Active

Practice location

333 W Norfolk Ave Ste 201
Norfolk, NE 68701-5221

Call (402) 379-2030 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XP-2247 (NE)
Peer Specialist Primary 175T00000X399 (NE)

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 1891500526

Kennedy Shores's National Provider Identifier is 1891500526, issued on Feb 10, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Norfolk, NE. The record was last updated on Apr 11, 2025.