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Brian Matthew Roark, PSS
Peer Specialist in Louisa, Kentucky
NPI 1457116741

Brian Matthew Roark is a Peer Specialist based in Louisa, KY. Brian Matthew Roark practices in Louisa, KY and has the professional credentials of PSS. The NPI Number for Brian Matthew Roark is 1457116741 and holds a License No. (Kentucky).

The current practice location address for Brian Matthew Roark is 125 S Main Cross St, Louisa, KY and can be reached out via phone at 606-639-0938.

Location: 125 S Main Cross St, Louisa, KY, 41230-1065
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457116741
Provider Name
Brian Matthew Roark
Credential
PSS
Provider Entity Type
Individual
Gender
Male
Address
125 S Main Cross St, Louisa, KY, 41230-1065
Phone Number
606-639-0938
Fax Number
Provider Enumeration Date
02/16/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
125 S Main Cross St
City
Louisa
State
Kentucky
Zip
41230-1065
Phone Number
606-639-0938
Fax Number
person
Provider Business Mailing Address Details
Address
125 S Main Cross St
City
Louisa
State
Kentucky
Zip
41230-1065
Phone Number
606-639-0938
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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