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Dustin Cannon
Peer Specialist in Hopkinsville, Kentucky
NPI 1891200036

Dustin Cannon is a Peer Specialist based in Hopkinsville, KY. Dustin Cannon practices in Hopkinsville, KY. The NPI Number for Dustin Cannon is 1891200036 and holds a License No. (Kentucky).

The current practice location address for Dustin Cannon is 737B North Drive, Hopkinsville, KY and can be reached out via phone at 270-890-1780 and via fax at 270-890-1789. You can also correspond with Dustin Cannon through the mailing address at 3999 FORT CAMPBELL BLVD, HOPKINSVILLE, KY - 42240-4929 (mailing address contact number: 270-886-2205).

Location: 737B North Drive, Hopkinsville, KY, 42240-4929
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891200036
Provider Name
Dustin Cannon
Credential
Provider Entity Type
Individual
Gender
Male
Address
737B North Drive, Hopkinsville, KY, 42240-4929
Phone Number
270-890-1780
Fax Number
270-890-1789
Provider Enumeration Date
12/11/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
737B North Drive
City
Hopkinsville
State
Kentucky
Zip
42240
Phone Number
270-890-1780
Fax Number
270-890-1789
person
Provider Business Mailing Address Details
Address
3999 Fort Campbell Blvd
City
Hopkinsville
State
Kentucky
Zip
42240-4929
Phone Number
270-886-2205
Fax Number
270-886-0392
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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