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Phillip Whitely, CDCA,PRS
Peer Specialist in Portsmouth, Ohio
NPI 1316414089

Phillip Whitely is a Peer Specialist based in Portsmouth, OH. Phillip Whitely practices in Portsmouth, OH and has the professional credentials of CDCA,PRS. The NPI Number for Phillip Whitely is 1316414089 and holds a License No. (Ohio).

The current practice location address for Phillip Whitely is 411 2Nd St, Portsmouth, OH and can be reached out via phone at 740-354-7545.

Location: 411 2Nd St, Portsmouth, OH, 45662-3811
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316414089
Provider Name
Phillip Whitely
Credential
CDCA,PRS
Provider Entity Type
Individual
Gender
Male
Address
411 2Nd St, Portsmouth, OH, 45662-3811
Phone Number
740-354-7545
Fax Number
Provider Enumeration Date
10/31/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
411 2Nd St
City
Portsmouth
State
Ohio
Zip
45662-3806
Phone Number
740-354-7545
Fax Number
person
Provider Business Mailing Address Details
Address
411 2Nd St
City
Portsmouth
State
Ohio
Zip
45662-3806
Phone Number
740-354-7545
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
0001602 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
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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