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Russell Wyatt, PRSS
Peer Specialist in Morgantown, West Virginia
NPI 1568198893

Russell Wyatt is a Peer Specialist based in Morgantown, WV. Russell Wyatt practices in Morgantown, WV and has the professional credentials of PRSS. The NPI Number for Russell Wyatt is 1568198893 and holds a License No. (West Virginia).

The current practice location address for Russell Wyatt is 206 Spruce St, Morgantown, WV and can be reached out via phone at 304-413-4300.

Location: 206 Spruce St, Morgantown, WV, 26505-7539
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568198893
Provider Name
Russell Wyatt
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
07/28/2022
Last Update Date
03/10/2024
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.
()
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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