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Angel Kilgore
Peer Specialist in Johnson City, Tennessee
NPI 1720609209

Angel Kilgore is a Peer Specialist based in Johnson City, TN. Angel Kilgore practices in Johnson City, TN. The NPI Number for Angel Kilgore is 1720609209 and holds a License No. (Tennessee).

The current practice location address for Angel Kilgore is 2408 Susannah St, Johnson City, TN and can be reached out via phone at 423-434-6677 and via fax at 423-461-0000.

Location: 2408 Susannah St, Johnson City, TN, 37601-1732
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720609209
Provider Name
Angel Kilgore
Credential
Provider Entity Type
Individual
Gender
Female
Address
2408 Susannah St, Johnson City, TN, 37601-1732
Phone Number
423-434-6677
Fax Number
423-461-0000
Provider Enumeration Date
05/06/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2408 Susannah St
City
Johnson City
State
Tennessee
Zip
37601-1732
Phone Number
423-434-6677
Fax Number
423-461-0000
person
Provider Business Mailing Address Details
Address
2408 Susannah St
City
Johnson City
State
Tennessee
Zip
37601-1732
Phone Number
423-434-6677
Fax Number
423-461-0000
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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