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Krystal Mae Holt, PRSS20906
Peer Specialist in Beckley, West Virginia
NPI 1225764681

Krystal Mae Holt is a Peer Specialist based in Beckley, WV. Krystal Mae Holt practices in Beckley, WV and has the professional credentials of PRSS20906. The NPI Number for Krystal Mae Holt is 1225764681 and holds a License No. 20.906 (West Virginia).

The current practice location address for Krystal Mae Holt is 101 S Eisenhower Dr, Beckley, WV and can be reached out via phone at 304-578-4010 and via fax at 304-252-6796.

Location: 101 S Eisenhower Dr, Beckley, WV, 25801-4929
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225764681
Provider Name
Krystal Mae Holt
Credential
PRSS20906
Provider Entity Type
Individual
Gender
Female
Address
101 S Eisenhower Dr, Beckley, WV, 25801-4929
Phone Number
304-578-4010
Fax Number
304-252-6796
Provider Enumeration Date
07/28/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
101 S Eisenhower Dr
City
Beckley
State
West Virginia
Zip
25801-4929
Phone Number
304-578-4010
Fax Number
304-252-6796
person
Provider Business Mailing Address Details
Address
101 S Eisenhower Dr
City
Beckley
State
West Virginia
Zip
25801-4929
Phone Number
304-578-4010
Fax Number
304-252-6796
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
20.906 (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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