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Bryan Maiden
Peer Specialist in Roanoke, Virginia
NPI 1467142521

Bryan Maiden is a Peer Specialist based in Roanoke, VA. Bryan Maiden practices in Roanoke, VA. The NPI Number for Bryan Maiden is 1467142521 and holds a License No. 0735000730 (Virginia).

The current practice location address for Bryan Maiden is 360 Campbell Ave Sw, Roanoke, VA and can be reached out via phone at 540-563-5316 and via fax at 540-563-5254.

Location: 360 Campbell Ave Sw, Roanoke, VA, 24016-3625
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467142521
Provider Name
Bryan Maiden
Credential
Provider Entity Type
Individual
Gender
Male
Address
360 Campbell Ave Sw, Roanoke, VA, 24016-3625
Phone Number
540-563-5316
Fax Number
540-563-5254
Provider Enumeration Date
05/11/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
360 Campbell Ave Sw
City
Roanoke
State
Virginia
Zip
24016-3625
Phone Number
540-563-5316
Fax Number
540-563-5254
person
Provider Business Mailing Address Details
Address
360 Campbell Ave Sw
City
Roanoke
State
Virginia
Zip
24016-3625
Phone Number
540-563-5316
Fax Number
540-563-5254
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
0735000730 (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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