Shasta Wease
Shasta Wease is a Peer Specialist in Elizabethtown, Kentucky. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
907 N Mulberry St Ste 200Elizabethtown, KY 42701-2018
Phone: (270) 982-7372
Fax: (270) 982-7372
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1255057402 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 18, 2022 |
| Last updated in NPPES | October 18, 2022 |
| Certification date | October 18, 2022 |
| Mailing address | 2810 Frontier Ct Apt 1, Radcliff, KY 40160-9075 |
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Ashley White
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Mr. Stephen White
907 N Mulberry St Ste 200, Elizabethtown, KY 42701-2018 · (270) 982-7372
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Kelly Denise Williams, APPS
400 Ring Rd Ste 155, Elizabethtown, KY 42701-8790 · (270) 300-4722