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Shannon Ray Bennett, CPSS,CSA
Peer Specialist in Corbin, Kentucky
NPI 1851153431

Shannon Ray Bennett is a Peer Specialist based in Corbin, KY. Shannon Ray Bennett practices in Corbin, KY and has the professional credentials of CPSS,CSA. The NPI Number for Shannon Ray Bennett is 1851153431 and holds a License No. (Kentucky).

The current practice location address for Shannon Ray Bennett is 3444 Cumberland Falls Hwy, Corbin, KY and can be reached out via phone at 606-280-2550. You can also correspond with Shannon Ray Bennett through the mailing address at 3444 CUMBERLAND FALLS HWY, CORBIN, KY - 40701-9056 (mailing address contact number: ).

Location: 3444 Cumberland Falls Hwy, Corbin, KY, 40701-9056
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851153431
Provider Name
Shannon Ray Bennett
Credential
CPSS,CSA
Provider Entity Type
Individual
Gender
Male
Address
3444 Cumberland Falls Hwy, Corbin, KY, 40701-9056
Phone Number
606-280-2550
Fax Number
Provider Enumeration Date
01/29/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3444 Cumberland Falls Hwy
City
Corbin
State
Kentucky
Zip
40701-9056
Phone Number
606-280-2550
Fax Number
person
Provider Business Mailing Address Details
Address
3444 Cumberland Falls Hwy
City
Corbin
State
Kentucky
Zip
40701-9056
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
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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