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Heather Koren Wyatt
Peer Specialist in Madisonville, Kentucky
NPI 1093366858

Heather Koren Wyatt is a Peer Specialist based in Hopkinsville, KY. Heather Koren Wyatt practices in Madisonville, KY. The NPI Number for Heather Koren Wyatt is 1093366858 and holds a License No. (Kentucky).

The current practice location address for Heather Koren Wyatt is 200 Clinic Dr, Madisonville, KY and can be reached out via phone at 270-821-8874 and via fax at 270-821-8883.

Location: 200 Clinic Dr, Madisonville, KY, 42241-0614
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093366858
Provider Name
Heather Koren Wyatt
Credential
Provider Entity Type
Individual
Gender
Female
Address
200 Clinic Dr, Madisonville, KY, 42241-0614
Phone Number
270-821-8874
Fax Number
270-821-8883
Provider Enumeration Date
09/24/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
200 Clinic Dr
City
Madisonville
State
Kentucky
Zip
42431-1661
Phone Number
270-821-8874
Fax Number
270-821-8883
person
Provider Business Mailing Address Details
Address
200 Clinic Dr
City
Madisonville
State
Kentucky
Zip
42431-1661
Phone Number
270-821-8874
Fax Number
270-821-8883
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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