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Gerod Buckhalter, PRSS
Peer Specialist in Morgantown, West Virginia
NPI 1427786128

Gerod Buckhalter is a Peer Specialist based in Morgantown, WV. Gerod Buckhalter practices in Morgantown, WV and has the professional credentials of PRSS. The NPI Number for Gerod Buckhalter is 1427786128 and holds a License No. 21-9129 (West Virginia).

The current practice location address for Gerod Buckhalter is 206 Spruce St, Morgantown, WV and can be reached out via phone at 304-413-4300. You can also correspond with Gerod Buckhalter through the mailing address at 206 SPRUCE ST, MORGANTOWN, WV - 26505-7539 (mailing address contact number: ).

Location: 206 Spruce St, Morgantown, WV, 26505-7539
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427786128
Provider Name
Gerod Buckhalter
Credential
PRSS
Provider Entity Type
Individual
Gender
Male
Address
206 Spruce St, Morgantown, WV, 26505-7539
Phone Number
304-413-4300
Fax Number
Provider Enumeration Date
08/10/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
21-9129 05 WV
institution
Provider Business Practice Location Address Details
Address
206 Spruce St
City
Morgantown
State
West Virginia
Zip
26505-7539
Phone Number
304-413-4300
Fax Number
person
Provider Business Mailing Address Details
Address
206 Spruce St
City
Morgantown
State
West Virginia
Zip
26505-7539
Phone Number
304-413-4300
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
21-9129 (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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