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Justin Michael Warren

Peer Specialist in Louisa, KY. Individual provider (NPI-1).

NPI number1336714880
StatusActive
Last updated in NPPESMay 26, 2021

Details

NPI
1336714880
Entity type
Individual (NPI-1)
Name
Justin Michael Warren
Sex
Male
Sole proprietor
Yes
Enumeration date
May 26, 2021
Certification date
May 26, 2021
Last updated
May 26, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist––Yes

Practice location

125 S Main Cross St
Louisa, KY 41230-1065

Phone 606-638-0938

Mailing address

125 S Main Cross St
Louisa, KY 41230-1065

Phone 606-638-0938

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