Individual
SHAWN JASON MCCARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PEER SUPPORT
Contact information
Practice address
1365 DEVONPORT DR, LEXINGTON, KY 40504-1552
(859) 309-2240
Mailing address
1365 DEVONPORT DR, LEXINGTON, KY 40504-1552
(859) 309-2240
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1204111
KY
Other
Enumeration date
06/06/2022
Last updated
06/06/2022
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