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Tiffany Nicole Thacker
Peer Specialist in Ashland, Kentucky
NPI 1023792488

Tiffany Nicole Thacker is a Peer Specialist based in Ashland, KY. Tiffany Nicole Thacker practices in Ashland, KY. The NPI Number for Tiffany Nicole Thacker is 1023792488 and holds a License No. (Kentucky).

The current practice location address for Tiffany Nicole Thacker is 201 22Nd St, Ashland, KY and can be reached out via phone at 606-329-8588.

Location: 201 22Nd St, Ashland, KY, 41105-0790
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023792488
Provider Name
Tiffany Nicole Thacker
Credential
Provider Entity Type
Individual
Gender
Female
Address
201 22Nd St, Ashland, KY, 41105-0790
Phone Number
606-329-8588
Fax Number
Provider Enumeration Date
06/14/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
201 22Nd St
City
Ashland
State
Kentucky
Zip
41101-7803
Phone Number
606-329-8588
Fax Number
person
Provider Business Mailing Address Details
Address
201 22Nd St
City
Ashland
State
Kentucky
Zip
41101-7803
Phone Number
606-329-8588
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
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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