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Keisha Nicole Montgomery, PRSS
Peer Specialist in Williamson, West Virginia
NPI 1356089577

Keisha Nicole Montgomery is a Peer Specialist based in Omar, WV. Keisha Nicole Montgomery practices in Williamson, WV and has the professional credentials of PRSS. The NPI Number for Keisha Nicole Montgomery is 1356089577 and holds a License No. (West Virginia).

The current practice location address for Keisha Nicole Montgomery is 101 Logan St Ste 200, Williamson, WV and can be reached out via phone at 304-235-3570.

Location: 101 Logan St Ste 200, Williamson, WV, 25638-9516
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356089577
Provider Name
Keisha Nicole Montgomery
Credential
PRSS
Provider Entity Type
Individual
Gender
Female
Address
101 Logan St Ste 200, Williamson, WV, 25638-9516
Phone Number
304-235-3570
Fax Number
Provider Enumeration Date
05/26/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
101 Logan St Ste 200
City
Williamson
State
West Virginia
Zip
25661-0016
Phone Number
304-235-3570
Fax Number
person
Provider Business Mailing Address Details
Address
101 Logan St Ste 200
City
Williamson
State
West Virginia
Zip
25661-0016
Phone Number
304-235-3570
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.
()
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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