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Jeremiah Hoffman Wilson
Peer Specialist in Hopkinsville, Kentucky
NPI 1669042255

Jeremiah Hoffman Wilson is a Peer Specialist based in Hopkinsville, KY. Jeremiah Hoffman Wilson practices in Hopkinsville, KY. The NPI Number for Jeremiah Hoffman Wilson is 1669042255 and holds a License No. (Kentucky).

The current practice location address for Jeremiah Hoffman Wilson is 737B North Dr, Hopkinsville, KY and can be reached out via phone at 270-780-1780. You can also correspond with Jeremiah Hoffman Wilson through the mailing address at PO BOX 614, HOPKINSVILLE, KY - 42241-0614 (mailing address contact number: ).

Location: 737B North Dr, Hopkinsville, KY, 42241-0614
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669042255
Provider Name
Jeremiah Hoffman Wilson
Credential
Provider Entity Type
Individual
Gender
Male
Address
737B North Dr, Hopkinsville, KY, 42241-0614
Phone Number
270-780-1780
Fax Number
Provider Enumeration Date
06/28/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
737B North Dr
City
Hopkinsville
State
Kentucky
Zip
42240-2620
Phone Number
270-780-1780
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 614
City
Hopkinsville
State
Kentucky
Zip
42241-0614
Phone Number
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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