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Herbert Alan Roberrts III, 17500000X
Peer Specialist in Logan, West Virginia
NPI 1033835921

Herbert Alan Roberrts III is a Peer Specialist based in Logan, WV. Herbert Alan Roberrts III practices in Logan, WV and has the professional credentials of 17500000X. The NPI Number for Herbert Alan Roberrts III is 1033835921 and holds a License No. (West Virginia).

The current practice location address for Herbert Alan Roberrts III is 1 Washington Ave Ste 300, Logan, WV and can be reached out via phone at 304-792-9473. You can also correspond with Herbert Alan Roberrts III through the mailing address at 1 WASHINGTON AVE STE 300, LOGAN, WV - 25601-3966 (mailing address contact number: 304-792-9473).

Location: 1 Washington Ave Ste 300, Logan, WV, 25601-3966
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033835921
Provider Name
Herbert Alan Roberrts III
Credential
17500000X
Provider Entity Type
Individual
Gender
Male
Address
1 Washington Ave Ste 300, Logan, WV, 25601-3966
Phone Number
304-792-9473
Fax Number
Provider Enumeration Date
10/13/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1 Washington Ave Ste 300
City
Logan
State
West Virginia
Zip
25601-3966
Phone Number
304-792-9473
Fax Number
person
Provider Business Mailing Address Details
Address
1 Washington Ave Ste 300
City
Logan
State
West Virginia
Zip
25601-3966
Phone Number
304-792-9473
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(West Virginia)
Definition
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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