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Jessica N Anderson
Peer Specialist in Elizabethtown, Kentucky
NPI 1760120133

Jessica N Anderson is a Peer Specialist based in Elizabethtown, KY. Jessica N Anderson practices in Elizabethtown, KY. The NPI Number for Jessica N Anderson is 1760120133 and holds a License No. 1204489 (Kentucky).

The current practice location address for Jessica N Anderson is 100 Diecks Dr, Elizabethtown, KY and can be reached out via phone at 270-319-6570.

Location: 100 Diecks Dr, Elizabethtown, KY, 42701-2443
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760120133
Provider Name
Jessica N Anderson
Credential
Provider Entity Type
Individual
Gender
Female
Address
100 Diecks Dr, Elizabethtown, KY, 42701-2443
Phone Number
270-319-6570
Fax Number
Provider Enumeration Date
05/25/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 Diecks Dr
City
Elizabethtown
State
Kentucky
Zip
42701-2443
Phone Number
270-319-6570
Fax Number
person
Provider Business Mailing Address Details
Address
100 Diecks Dr
City
Elizabethtown
State
Kentucky
Zip
42701-2443
Phone Number
270-319-6570
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
1204489 (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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