person
Miranda Nicole Thompson
Peer Specialist in Charleston, West Virginia
NPI 1144804774

Miranda Nicole Thompson is a Peer Specialist based in Charleston, WV. Miranda Nicole Thompson practices in Charleston, WV. The NPI Number for Miranda Nicole Thompson is 1144804774 and holds a License No. (West Virginia).

The current practice location address for Miranda Nicole Thompson is 102 Patrick Street Plz, Charleston, WV and can be reached out via phone at 304-233-3200. You can also correspond with Miranda Nicole Thompson through the mailing address at 303 PENNSYLVANIA AVE APT A, CHARLESTON, WV - 25302-2359 (mailing address contact number: ).

Location: 102 Patrick Street Plz, Charleston, WV, 25302-2359
person
Provider Profile Details
NPI Number
1144804774
Provider Name
Miranda Nicole Thompson
Credential
Provider Entity Type
Individual
Gender
Female
Address
102 Patrick Street Plz, Charleston, WV, 25302-2359
Phone Number
304-233-3200
Fax Number
Provider Enumeration Date
05/10/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
102 Patrick Street Plz
City
State
Zip
25387-2444
Phone Number
304-233-3200
Fax Number
person
Provider Business Mailing Address Details
Address
102 Patrick Street Plz
City
State
Zip
25387-2444
Phone Number
304-233-3200
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
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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