Individual provider · Type 1 NPI

Stephen White

Peer Specialist · Elizabethtown, KY

NPI number 1912623786 Active

Practice location

907 N Mulberry St Ste 200
Elizabethtown, KY 42701-2018

Call (270) 982-7372 Map

Fax (270) 982-7372

Mailing address

302 Manley Ave
Vine Grove, KY 40175-1532

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 1912623786

Stephen White's National Provider Identifier is 1912623786, issued on Oct 13, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Elizabethtown, KY. The record was last updated on Oct 13, 2022.