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Alexis D Wallace, CPSS
Peer Specialist in Somerset, Kentucky
NPI 1912688797

Alexis D Wallace is a Peer Specialist based in Somerset, KY. Alexis D Wallace practices in Somerset, KY and has the professional credentials of CPSS. The NPI Number for Alexis D Wallace is 1912688797 and holds a License No. 1207173 (Kentucky).

The current practice location address for Alexis D Wallace is 80 Highway 2227, Somerset, KY and can be reached out via phone at 606-485-4003.

Location: 80 Highway 2227, Somerset, KY, 42503-1562
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912688797
Provider Name
Alexis D Wallace
Credential
CPSS
Provider Entity Type
Individual
Gender
Female
Address
80 Highway 2227, Somerset, KY, 42503-1562
Phone Number
606-485-4003
Fax Number
Provider Enumeration Date
07/26/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
80 Highway 2227
City
Somerset
State
Kentucky
Zip
42503-1562
Phone Number
606-485-4003
Fax Number
person
Provider Business Mailing Address Details
Address
80 Highway 2227
City
Somerset
State
Kentucky
Zip
42503-1562
Phone Number
606-485-4003
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
1207173 (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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