Brandon Gaige Thompson
Peer Specialist in Elizabethtown, KY. Individual provider (NPI-1).
NPI number1548092844
StatusActive
Last updated in NPPESAug 15, 2024
Details
- NPI
- 1548092844
- Entity type
- Individual (NPI-1)
- Name
- Brandon Gaige Thompson
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 15, 2024
- Certification date
- Aug 15, 2024
- Last updated
- Aug 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
Practice location
202 Bishop LnElizabethtown, KY 42701-9266
Phone 270-505-9420
Mailing address
405 N Miles StElizabethtown, KY 42701-1834
Phone 270-234-0003
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All 139 Peer Specialist providers in Elizabethtown · All 2,301 providers in Elizabethtown
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