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Irvin Southwood, CPSS
Peer Specialist in Somerset, Kentucky
NPI 1689355216

Irvin Southwood is a Peer Specialist based in Somerset, KY. Irvin Southwood practices in Somerset, KY and has the professional credentials of CPSS. The NPI Number for Irvin Southwood is 1689355216 and holds a License No. 1206172 (Kentucky).

The current practice location address for Irvin Southwood is 80 Highway 2227, Somerset, KY and can be reached out via phone at 606-485-4003. You can also correspond with Irvin Southwood through the mailing address at 80 HIGHWAY 2227, SOMERSET, KY - 42503-1562 (mailing address contact number: 606-485-4003).

Location: 80 Highway 2227, Somerset, KY, 42503-1562
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689355216
Provider Name
Irvin Southwood
Credential
CPSS
Provider Entity Type
Individual
Gender
Male
Address
80 Highway 2227, Somerset, KY, 42503-1562
Phone Number
606-485-4003
Fax Number
Provider Enumeration Date
07/27/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
80 Highway 2227
City
Somerset
State
Kentucky
Zip
42503-1562
Phone Number
606-485-4003
Fax Number
person
Provider Business Mailing Address Details
Address
80 Highway 2227
City
Somerset
State
Kentucky
Zip
42503-1562
Phone Number
606-485-4003
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
1206172 (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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