Kelly Jo Moore is a Peer Specialist based in Manchester, KY. Kelly Jo Moore practices in Manchester, KY. The NPI Number for Kelly Jo Moore is 1487391595 and holds a License No. (Kentucky).
The current practice location address for Kelly Jo Moore is 205 Main St, Manchester, KY and can be reached out via phone at 606-596-0323.
Location: 205 Main St, Manchester, KY, 40962-1259
Provider Profile Details
NPI Number
1487391595
Provider Name
Kelly Jo Moore
Credential
Provider Entity Type
Individual
Gender
Female
Address
205 Main St, Manchester, KY, 40962-1259
Phone Number
606-596-0323
Fax Number
Provider Enumeration Date
05/19/2022
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
205 Main St
City
State
Zip
40962-1259
Phone Number
606-596-0323
Fax Number
Provider Business Mailing Address Details
Address
205 Main St
City
State
Zip
40962-1259
Phone Number
606-596-0323
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
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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