Individual provider · Type 1 NPI

Alexis D. Wallace, CPSS

Peer Specialist · Somerset, KY

NPI number 1912688797 Active

Practice location

80 Highway 2227
Somerset, KY 42503-1562

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X296874 (KY)
Peer Specialist Primary 175T00000X1207173 (KY)

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 1912688797

Alexis D. Wallace, CPSS's National Provider Identifier is 1912688797, issued on Jul 26, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Somerset, KY. The record was last updated on Jan 20, 2025.