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Gordon Waldespuhl
Peer Specialist in Somerset, Kentucky
NPI 1467199778

Gordon Waldespuhl is a Peer Specialist based in Somerset, KY. Gordon Waldespuhl practices in Somerset, KY. The NPI Number for Gordon Waldespuhl is 1467199778 and holds a License No. (Kentucky).

The current practice location address for Gordon Waldespuhl is 80 Ky 2227, Somerset, KY and can be reached out via phone at 606-485-4003. You can also correspond with Gordon Waldespuhl through the mailing address at 80 KY 2227, SOMERSET, KY - 42503 (mailing address contact number: 606-485-4003).

Location: 80 Ky 2227, Somerset, KY, 42503
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467199778
Provider Name
Gordon Waldespuhl
Credential
Provider Entity Type
Individual
Gender
Male
Address
80 Ky 2227, Somerset, KY, 42503
Phone Number
606-485-4003
Fax Number
Provider Enumeration Date
05/18/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
80 Ky 2227
City
Somerset
State
Kentucky
Zip
42503
Phone Number
606-485-4003
Fax Number
person
Provider Business Mailing Address Details
Address
80 Ky 2227
City
Somerset
State
Kentucky
Zip
42503
Phone Number
606-485-4003
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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