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Kalmece Tehran Wilson
Peer Specialist in Paducah, Kentucky
NPI 1275228090

Kalmece Tehran Wilson is a Peer Specialist based in Paducah, KY. Kalmece Tehran Wilson practices in Paducah, KY. The NPI Number for Kalmece Tehran Wilson is 1275228090 and holds a License No. (Kentucky).

The current practice location address for Kalmece Tehran Wilson is 425 Broadway St Ste 201, Paducah, KY and can be reached out via phone at 270-349-3546.

Location: 425 Broadway St Ste 201, Paducah, KY, 42001-0713
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275228090
Provider Name
Kalmece Tehran Wilson
Credential
Provider Entity Type
Individual
Gender
Male
Address
425 Broadway St Ste 201, Paducah, KY, 42001-0713
Phone Number
270-349-3546
Fax Number
Provider Enumeration Date
04/07/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
425 Broadway St Ste 201
City
Paducah
State
Kentucky
Zip
42001-0713
Phone Number
270-349-3546
Fax Number
person
Provider Business Mailing Address Details
Address
425 Broadway St Ste 201
City
Paducah
State
Kentucky
Zip
42001-0713
Phone Number
270-349-3546
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(Kentucky)
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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