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Garry Leonard Rose, YPSSCERTIFIED
Peer Specialist in Radcliff, Kentucky
NPI 1316591050

Garry Leonard Rose is a Peer Specialist based in Radcliff, KY. Garry Leonard Rose practices in Radcliff, KY and has the professional credentials of YPSSCERTIFIED. The NPI Number for Garry Leonard Rose is 1316591050 and holds a License No. (Kentucky).

The current practice location address for Garry Leonard Rose is 1072 S Dixie Blvd, Radcliff, KY and can be reached out via phone at 270-473-1624.

Location: 1072 S Dixie Blvd, Radcliff, KY, 40160-1103
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316591050
Provider Name
Garry Leonard Rose
Credential
YPSSCERTIFIED
Provider Entity Type
Individual
Gender
Male
Address
1072 S Dixie Blvd, Radcliff, KY, 40160-1103
Phone Number
270-473-1624
Fax Number
Provider Enumeration Date
07/31/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1072 S Dixie Blvd
City
Radcliff
State
Kentucky
Zip
40160-1103
Phone Number
270-473-1624
Fax Number
person
Provider Business Mailing Address Details
Address
1072 S Dixie Blvd
City
Radcliff
State
Kentucky
Zip
40160-1103
Phone Number
270-473-1624
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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