person
Carl Eugene Johnson III, PSS
Peer Specialist in Louisa, Kentucky
NPI 1104424183

Carl Eugene Johnson III is a Peer Specialist based in Louisa, KY. Carl Eugene Johnson III practices in Louisa, KY and has the professional credentials of PSS. The NPI Number for Carl Eugene Johnson III is 1104424183 and holds a License No. (Kentucky).

The current practice location address for Carl Eugene Johnson III is 125 S Main Cross St, Louisa, KY and can be reached out via phone at 606-639-0938 and via fax at 859-813-5394.

Location: 125 S Main Cross St, Louisa, KY, 41230-1065
person
Provider Profile Details
NPI Number
1104424183
Provider Name
Carl Eugene Johnson III
Credential
PSS
Provider Entity Type
Individual
Gender
Male
Address
125 S Main Cross St, Louisa, KY, 41230-1065
Phone Number
606-639-0938
Fax Number
859-813-5394
Provider Enumeration Date
10/13/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
125 S Main Cross St
City
State
Zip
41230-1065
Phone Number
606-639-0938
Fax Number
859-813-5394
person
Provider Business Mailing Address Details
Address
125 S Main Cross St
City
State
Zip
41230-1065
Phone Number
606-639-0938
Fax Number
859-813-5394
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
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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