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Brandon Harold Whitehouse, PRSS
Peer Specialist in Princeton, West Virginia
NPI 1316680549

Brandon Harold Whitehouse is a Peer Specialist based in Princeton, WV. Brandon Harold Whitehouse practices in Princeton, WV and has the professional credentials of PRSS. The NPI Number for Brandon Harold Whitehouse is 1316680549 and holds a License No. 18-918 (West Virginia).

The current practice location address for Brandon Harold Whitehouse is 1345 Mercer St, Princeton, WV and can be reached out via phone at 304-818-2222.

Location: 1345 Mercer St, Princeton, WV, 24740-2329
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316680549
Provider Name
Brandon Harold Whitehouse
Credential
PRSS
Provider Entity Type
Individual
Gender
Male
Address
1345 Mercer St, Princeton, WV, 24740-2329
Phone Number
304-818-2222
Fax Number
Provider Enumeration Date
04/15/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
764876480 05 WV
institution
Provider Business Practice Location Address Details
Address
1345 Mercer St
City
Princeton
State
West Virginia
Zip
24740-3033
Phone Number
304-818-2222
Fax Number
person
Provider Business Mailing Address Details
Address
1345 Mercer St
City
Princeton
State
West Virginia
Zip
24740-3033
Phone Number
304-818-2222
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
18-918 (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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