JACOB AARON CISCO PSS
NPI 1760211163
Peer Specialist in Louisa, KY
- Individual
- Male
- Peer Specialist
About JACOB CISCO
This page provides the complete NPI Profile along with additional information for Jacob Cisco, a provider established in Louisa, Kentucky with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1760211163 assigned on August 2024. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1760211163 Verify this NPI
- Provider Name
- JACOB AARON CISCO PSS
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 125 S MAIN CROSS ST LOUISA, KY 41230
- Location Phone
- (606) 638-0938
- Mailing Address
- 125 S MAIN CROSS ST LOUISA, KY 41230
- Mailing Phone
- (606) 638-0938
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-01-2024
- Last Update Date
- 08-01-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Peer Specialist
- Taxonomy Code
- 175T00000X
- Type
- Other Service Providers
- License State
- KY
- Taxonomy Description
- Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
LOUISA, KY 41230
LOUISA, KY 41230
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760211163, enumerated as an "individual" on August 01, 2024.
The provider is located at 125 S MAIN CROSS ST LOUISA, KY 41230 and the phone number is (606) 638-0938.
Peer Specialist with taxonomy code 175T00000X.
