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Mr. Stephen White
Peer Specialist in Elizabethtown, Kentucky
NPI 1912623786

Stephen White is a Peer Specialist based in Vine Grove, KY. Stephen White practices in Elizabethtown, KY. The NPI Number for Stephen White is 1912623786 and holds a License No. (Kentucky).

The current practice location address for Stephen White is 907 N Mulberry St Ste 200, Elizabethtown, KY and can be reached out via phone at 270-982-7372 and via fax at 270-982-7372.

Location: 907 N Mulberry St Ste 200, Elizabethtown, KY, 40175-1532
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912623786
Provider Name
Stephen White
Credential
Provider Entity Type
Individual
Gender
Male
Address
907 N Mulberry St Ste 200, Elizabethtown, KY, 40175-1532
Phone Number
270-982-7372
Fax Number
270-982-7372
Provider Enumeration Date
10/13/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
907 N Mulberry St Ste 200
City
Elizabethtown
State
Kentucky
Zip
42701-2018
Phone Number
270-982-7372
Fax Number
270-982-7372
person
Provider Business Mailing Address Details
Address
907 N Mulberry St Ste 200
City
Elizabethtown
State
Kentucky
Zip
42701-2018
Phone Number
270-982-7372
Fax Number
270-982-7372
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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