person
Kelli Marie Wiseman
Peer Specialist in Louisa, Kentucky
NPI 1740975044

Kelli Marie Wiseman is a Peer Specialist based in Louisa, KY. Kelli Marie Wiseman practices in Louisa, KY. The NPI Number for Kelli Marie Wiseman is 1740975044 and holds a License No. (Kentucky).

The current practice location address for Kelli Marie Wiseman is 125 S Main Cross St, Louisa, KY and can be reached out via phone at 606-638-0938 and via fax at 859-813-5394.

Location: 125 S Main Cross St, Louisa, KY, 41230-1065
person
Provider Profile Details
NPI Number
1740975044
Provider Name
Kelli Marie Wiseman
Credential
Provider Entity Type
Individual
Gender
Female
Address
125 S Main Cross St, Louisa, KY, 41230-1065
Phone Number
606-638-0938
Fax Number
859-813-5394
Provider Enumeration Date
04/11/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
125 S Main Cross St
City
State
Zip
41230-1065
Phone Number
606-638-0938
Fax Number
859-813-5394
person
Provider Business Mailing Address Details
Address
125 S Main Cross St
City
State
Zip
41230-1065
Phone Number
606-638-0938
Fax Number
859-813-5394
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
(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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