Samuel Short
Samuel Short is a Peer Specialist in Corbin, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.
- Licensed in
- KY
- In the registry since
- 2024
Practice location Address checks out
3444 Cumberland Falls HwyCorbin, KY 40701-9056
Phone: (606) 260-0628
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X (KY) |
|---|
Record details
| NPI number | 1922853886 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 23, 2024 |
| Last updated in NPPES | April 23, 2024 |
| Certification date | April 23, 2024 |
| Mailing address | 3444 Cumberland Falls Hwy, Corbin, KY 40701-9056 |
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Diana Ison, CPSS
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