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Natasha Diamond Rio Cook
Peer Specialist in Logan, West Virginia
NPI 1194451302

Natasha Diamond Rio Cook is a Peer Specialist based in Logan, WV. Natasha Diamond Rio Cook practices in Logan, WV. The NPI Number for Natasha Diamond Rio Cook is 1194451302 and holds a License No. (West Virginia).

The current practice location address for Natasha Diamond Rio Cook is 1 Washington Ave Ste 3, Logan, WV and can be reached out via phone at 304-824-3100. You can also correspond with Natasha Diamond Rio Cook through the mailing address at 1 WASHINGTON AVE STE 3, LOGAN, WV - 25601-3965 (mailing address contact number: 304-824-3100).

Location: 1 Washington Ave Ste 3, Logan, WV, 25601-3965
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194451302
Provider Name
Natasha Diamond Rio Cook
Credential
Provider Entity Type
Individual
Gender
Female
Address
1 Washington Ave Ste 3, Logan, WV, 25601-3965
Phone Number
304-824-3100
Fax Number
Provider Enumeration Date
07/29/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1 Washington Ave Ste 3
City
Logan
State
West Virginia
Zip
25601-3965
Phone Number
304-824-3100
Fax Number
person
Provider Business Mailing Address Details
Address
1 Washington Ave Ste 3
City
Logan
State
West Virginia
Zip
25601-3965
Phone Number
304-824-3100
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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