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Joshua Roark

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

NPI number1609772136
StatusActive
Last updated in NPPESOct 20, 2026

Details

NPI
1609772136
Entity type
Individual (NPI-1)
Name
Joshua Roark
Sex
Male
Sole proprietor
No
Enumeration date
Oct 20, 2026
Certification date
Oct 20, 2026
Last updated
Oct 20, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist––Yes

Practice location

104 S Front Ave
Prestonsburg, KY 41653-1614

Phone 606-886-8572

Mailing address

104 S Front Ave
104 S Front Ave
Prestonsburg, KY 41653-1614

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