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Jeremy Boutwell II
Peer Specialist in Somerset, Kentucky
NPI 1134800618

Jeremy Boutwell II is a Peer Specialist based in Somerset, KY. Jeremy Boutwell II practices in Somerset, KY. The NPI Number for Jeremy Boutwell II is 1134800618 and holds a License No. (Kentucky).

The current practice location address for Jeremy Boutwell II is 233 Parkers Mill Way, Somerset, KY and can be reached out via phone at 606-341-4906.

Location: 233 Parkers Mill Way, Somerset, KY, 42503-1562
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134800618
Provider Name
Jeremy Boutwell II
Credential
Provider Entity Type
Individual
Gender
Male
Address
233 Parkers Mill Way, Somerset, KY, 42503-1562
Phone Number
606-341-4906
Fax Number
Provider Enumeration Date
07/27/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
233 Parkers Mill Way
City
Somerset
State
Kentucky
Zip
42503-4152
Phone Number
606-341-4906
Fax Number
person
Provider Business Mailing Address Details
Address
233 Parkers Mill Way
City
Somerset
State
Kentucky
Zip
42503-4152
Phone Number
606-341-4906
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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