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Randall Scott Vance
Peer Specialist in Elizabethtown, Kentucky
NPI 1619506748

Randall Scott Vance is a Peer Specialist based in Elizabethtown, KY. Randall Scott Vance practices in Elizabethtown, KY. The NPI Number for Randall Scott Vance is 1619506748 and holds a License No. 1179634 (Kentucky).

The current practice location address for Randall Scott Vance is 537 Bellwood Dr Apt 1, Elizabethtown, KY and can be reached out via phone at 270-312-2500. You can also correspond with Randall Scott Vance through the mailing address at 537 BELLWOOD DR APT 1, ELIZABETHTOWN, KY - 42701-2336 (mailing address contact number: ).

Location: 537 Bellwood Dr Apt 1, Elizabethtown, KY, 42701-2336
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619506748
Provider Name
Randall Scott Vance
Credential
Provider Entity Type
Individual
Gender
Male
Address
537 Bellwood Dr Apt 1, Elizabethtown, KY, 42701-2336
Phone Number
270-312-2500
Fax Number
Provider Enumeration Date
04/01/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
537 Bellwood Dr Apt 1
City
Elizabethtown
State
Kentucky
Zip
42701-2336
Phone Number
270-312-2500
Fax Number
person
Provider Business Mailing Address Details
Address
537 Bellwood Dr Apt 1
City
Elizabethtown
State
Kentucky
Zip
42701-2336
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
1179634 (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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