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Thaddeus John Ligon
Peer Specialist in Elizabethtown, Kentucky
NPI 1033866090

Thaddeus John Ligon is a Peer Specialist based in Elizabethtown, KY. Thaddeus John Ligon practices in Elizabethtown, KY. The NPI Number for Thaddeus John Ligon is 1033866090 and holds a License No. (Kentucky).

The current practice location address for Thaddeus John Ligon is 612 E Dixie Ave, Elizabethtown, KY and can be reached out via phone at 270-982-7378.

Location: 612 E Dixie Ave, Elizabethtown, KY, 42701-1077
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033866090
Provider Name
Thaddeus John Ligon
Credential
Provider Entity Type
Individual
Gender
Male
Address
612 E Dixie Ave, Elizabethtown, KY, 42701-1077
Phone Number
270-982-7378
Fax Number
Provider Enumeration Date
03/09/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
612 E Dixie Ave
City
Elizabethtown
State
Kentucky
Zip
42701-1077
Phone Number
270-982-7378
Fax Number
person
Provider Business Mailing Address Details
Address
612 E Dixie Ave
City
Elizabethtown
State
Kentucky
Zip
42701-1077
Phone Number
270-982-7378
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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