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Gatlin Gabriel Clark, CPSS
Peer Specialist in Pikeville, Kentucky
NPI 1982385795

Gatlin Gabriel Clark is a Peer Specialist based in Pikeville, KY. Gatlin Gabriel Clark practices in Pikeville, KY and has the professional credentials of CPSS. The NPI Number for Gatlin Gabriel Clark is 1982385795 and holds a License No. C07628439 (Kentucky).

The current practice location address for Gatlin Gabriel Clark is 177 3Rd St, Pikeville, KY and can be reached out via phone at 859-227-5614.

Location: 177 3Rd St, Pikeville, KY, 41501-1278
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982385795
Provider Name
Gatlin Gabriel Clark
Credential
CPSS
Provider Entity Type
Individual
Gender
Male
Address
177 3Rd St, Pikeville, KY, 41501-1278
Phone Number
859-227-5614
Fax Number
Provider Enumeration Date
07/26/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
177 3Rd St
City
Pikeville
State
Kentucky
Zip
41501-1278
Phone Number
859-227-5614
Fax Number
person
Provider Business Mailing Address Details
Address
177 3Rd St
City
Pikeville
State
Kentucky
Zip
41501-1278
Phone Number
859-227-5614
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
C07628439 (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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