Kenneth Dwayne Neill - Wasilla, AK

Kenneth Dwayne Neill

Peer Specialist in Wasilla, Alaska

NPI 1508476268

Kenneth Dwayne Neill is a Peer Specialist based in Wasilla, AK. Kenneth Dwayne Neill practices in Wasilla, AK. The NPI Number for Kenneth Dwayne Neill is 1508476268 and holds a License No. (Alaska).

The current practice location address for Kenneth Dwayne Neill is 591 S Knik Goose Bay Rd, Wasilla, AK and can be reached out via phone at 907-313-1333.

Location: 591 S Knik Goose Bay Rd, Wasilla, AK, 99654-8062

NPI Number

1508476268

Provider Name

Kenneth Dwayne Neill

Credential

Provider Entity Type

Individual

Gender

Male

Address

591 S Knik Goose Bay Rd, Wasilla, AK, 99654-8062

Phone Number

907-313-1333

Fax Number

Provider Enumeration Date

08/06/2020

Last Update Date

03/10/2024

Address

591 S Knik Goose Bay Rd

City

Wasilla

State

Alaska

Zip

99654-8062

Phone Number

907-313-1333

Fax Number

Address

591 S Knik Goose Bay Rd

City

Wasilla

State

Alaska

Zip

99654-8062

Phone Number

907-313-1333

Fax Number

Type

Other Service Providers

Classification

Peer Specialist

Speciality

Taxonomy

175T00000X

License No.

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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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