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Julie Canterbury
Peer Specialist in Fayetteville, West Virginia
NPI 1316604200

Julie Canterbury is a Peer Specialist based in Fayetteville, WV. Julie Canterbury practices in Fayetteville, WV. The NPI Number for Julie Canterbury is 1316604200 and holds a License No. (West Virginia).

The current practice location address for Julie Canterbury is 100 N Court St, Fayetteville, WV and can be reached out via phone at 304-574-4229.

Location: 100 N Court St, Fayetteville, WV, 25840-1256
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316604200
Provider Name
Julie Canterbury
Credential
Provider Entity Type
Individual
Gender
Female
Address
100 N Court St, Fayetteville, WV, 25840-1256
Phone Number
304-574-4229
Fax Number
Provider Enumeration Date
11/26/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 N Court St
City
Fayetteville
State
West Virginia
Zip
25840-1200
Phone Number
304-574-4229
Fax Number
person
Provider Business Mailing Address Details
Address
100 N Court St
City
Fayetteville
State
West Virginia
Zip
25840-1200
Phone Number
304-574-4229
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
22-9153 (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.
person
Provider's Taxonomy Details 2
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Personal Care Attendant
Taxonomy
3747P1801X
License No.
()
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
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