Dustin Moore is a Peer Specialist based in Ashland, KY. Dustin Moore practices in Louisa, KY. The NPI Number for Dustin Moore is 1811533102 and holds a License No. (Kentucky).
The current practice location address for Dustin Moore is 60 Professional Park Dr, Louisa, KY and can be reached out via phone at 606-329-8588.
Location: 60 Professional Park Dr, Louisa, KY, 41105-0790
Provider Profile Details
NPI Number
1811533102
Provider Name
Dustin Moore
Credential
Provider Entity Type
Individual
Gender
Male
Address
60 Professional Park Dr, Louisa, KY, 41105-0790
Phone Number
606-329-8588
Fax Number
Provider Enumeration Date
11/21/2019
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
60 Professional Park Dr
City
State
Zip
41230-9644
Phone Number
606-329-8588
Fax Number
Provider Business Mailing Address Details
Address
60 Professional Park Dr
City
State
Zip
41230-9644
Phone Number
606-329-8588
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
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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