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Mr. Walt Morgan Clive
Peer Specialist in Elizabethtown, Kentucky
NPI 1053068007

Walt Morgan Clive is a Peer Specialist based in Elizabethtown, KY. Walt Morgan Clive practices in Elizabethtown, KY. The NPI Number for Walt Morgan Clive is 1053068007 and holds a License No. (Kentucky).

The current practice location address for Walt Morgan Clive is 612 E Dixie Ave, Elizabethtown, KY and can be reached out via phone at 502-994-5553.

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
1053068007
Provider Name
Walt Morgan Clive
Credential
Provider Entity Type
Individual
Gender
Male
Address
612 E Dixie Ave, Elizabethtown, KY, 42701-1077
Phone Number
502-994-5553
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
502-994-5553
Fax Number
person
Provider Business Mailing Address Details
Address
612 E Dixie Ave
City
Elizabethtown
State
Kentucky
Zip
42701-1077
Phone Number
502-994-5553
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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