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Sharla R Smith, PRSS
Peer Specialist in Logan, West Virginia
NPI 1154047066

Sharla R Smith is a Peer Specialist based in Logan, WV. Sharla R Smith practices in Logan, WV and has the professional credentials of PRSS. The NPI Number for Sharla R Smith is 1154047066 and holds a License No. 22-9102 (West Virginia).

The current practice location address for Sharla R Smith is 174 Lmah Center Rd, Logan, WV and can be reached out via phone at 304-792-7130 and via fax at 304-896-5184.

Location: 174 Lmah Center Rd, Logan, WV, 25601-0176
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154047066
Provider Name
Sharla R Smith
Credential
PRSS
Provider Entity Type
Individual
Gender
Female
Address
174 Lmah Center Rd, Logan, WV, 25601-0176
Phone Number
304-792-7130
Fax Number
304-896-5184
Provider Enumeration Date
10/13/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
22-9102 01 WV WV CERTIFICATION BOARD FOR ADDICTION AND PREVENTION PROFESSIONALS
institution
Provider Business Practice Location Address Details
Address
174 Lmah Center Rd
City
Logan
State
West Virginia
Zip
25601-4058
Phone Number
304-792-7130
Fax Number
304-896-5184
person
Provider Business Mailing Address Details
Address
174 Lmah Center Rd
City
Logan
State
West Virginia
Zip
25601-4058
Phone Number
304-792-7130
Fax Number
304-896-5184
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
22-9102 (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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