Jeremiah Decker, PSS

NPI #1639063308 in Benton, Kentucky

Provider Information

NPI Number: 1639063308
Entity Type: Individual
Name: Jeremiah Decker, PSS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Credential: PSS
Enumeration Date: Jun 5, 2025
Last Updated: Jun 5, 2025

Practice Location

Address: 10187 US HIGHWAY 68 E
City: Benton
State: Kentucky
ZIP Code: 42025-6505
Phone: (270) 331-3719

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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