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Tonya Marie Maravilla, APSS
Peer Specialist in Elizabethtown, Kentucky
NPI 1417585498

Tonya Marie Maravilla is a Peer Specialist based in Elizabethtown, KY. Tonya Marie Maravilla practices in Elizabethtown, KY and has the professional credentials of APSS. The NPI Number for Tonya Marie Maravilla is 1417585498 and holds a License No. 1170044 (Kentucky).

The current practice location address for Tonya Marie Maravilla is 413 E Dixie Ave Ste 106, Elizabethtown, KY and can be reached out via phone at 270-319-9899.

Location: 413 E Dixie Ave Ste 106, Elizabethtown, KY, 42701-1162
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417585498
Provider Name
Tonya Marie Maravilla
Credential
APSS
Provider Entity Type
Individual
Gender
Female
Address
413 E Dixie Ave Ste 106, Elizabethtown, KY, 42701-1162
Phone Number
270-319-9899
Fax Number
Provider Enumeration Date
03/27/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
413 E Dixie Ave Ste 106
City
Elizabethtown
State
Kentucky
Zip
42701-1162
Phone Number
270-319-9899
Fax Number
person
Provider Business Mailing Address Details
Address
413 E Dixie Ave Ste 106
City
Elizabethtown
State
Kentucky
Zip
42701-1162
Phone Number
270-319-9899
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
1170044 (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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