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Miss Jessica Shannon White, CADC
Peer Specialist in Lexington, Kentucky
NPI 1306291851

Jessica Shannon White is a Peer Specialist based in Lexington, KY. Jessica Shannon White practices in Lexington, KY and has the professional credentials of CADC. The NPI Number for Jessica Shannon White is 1306291851 and holds a License No. ADCADC00225693 (Kentucky).

The current practice location address for Jessica Shannon White is 1589 Hill Rise Dr, Lexington, KY and can be reached out via phone at 859-977-2525 and via fax at 859-233-9231.

Location: 1589 Hill Rise Dr, Lexington, KY, 40504-2588
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306291851
Provider Name
Jessica Shannon White
Credential
CADC
Provider Entity Type
Individual
Gender
Female
Address
1589 Hill Rise Dr, Lexington, KY, 40504-2588
Phone Number
859-977-2525
Fax Number
859-233-9231
Provider Enumeration Date
05/03/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1589 Hill Rise Dr
City
Lexington
State
Kentucky
Zip
40504-2588
Phone Number
859-977-2525
Fax Number
859-233-9231
person
Provider Business Mailing Address Details
Address
1589 Hill Rise Dr
City
Lexington
State
Kentucky
Zip
40504-2588
Phone Number
859-977-2525
Fax Number
859-233-9231
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
164582 (Kentucky)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
ADCADC00225693 (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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