Individual provider · Type 1 NPI

Kaneisha Mack, CPS-WH

Peer Specialist · Lagrange, GA

NPI number 1952862286 Active

Practice location

122 Gordon Commercial Dr
Lagrange, GA 30240-5754

Call (706) 845-4054 Map

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 1952862286

Kaneisha Mack, CPS-WH's National Provider Identifier is 1952862286, issued on Mar 28, 2019. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Lagrange, GA. The record was last updated on Mar 28, 2019.