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Wesley Wagers
Peer Specialist in London, Kentucky
NPI 1619741121

Wesley Wagers is a Peer Specialist based in London, KY. Wesley Wagers practices in London, KY. The NPI Number for Wesley Wagers is 1619741121 and holds a License No. 1203642 (Kentucky).

The current practice location address for Wesley Wagers is 1652 Nevada Ave, London, KY and can be reached out via phone at 606-767-7390. You can also correspond with Wesley Wagers through the mailing address at 1652 NEVADA AVE, LONDON, KY - 40741-2920 (mailing address contact number: ).

Location: 1652 Nevada Ave, London, KY, 40741-2920
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619741121
Provider Name
Wesley Wagers
Credential
Provider Entity Type
Individual
Gender
Male
Address
1652 Nevada Ave, London, KY, 40741-2920
Phone Number
606-767-7390
Fax Number
Provider Enumeration Date
11/14/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1652 Nevada Ave
City
London
State
Kentucky
Zip
40741-2920
Phone Number
606-767-7390
Fax Number
person
Provider Business Mailing Address Details
Address
1652 Nevada Ave
City
London
State
Kentucky
Zip
40741-2920
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
1203642 (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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