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Mr. John Robert Kangas, PR
Peer Specialist in Logan, West Virginia
NPI 1609518232

John Robert Kangas is a Peer Specialist based in Logan, WV. John Robert Kangas practices in Logan, WV and has the professional credentials of PR. The NPI Number for John Robert Kangas is 1609518232 and holds a License No. 19.918 (West Virginia).

The current practice location address for John Robert Kangas is 1 Washington Ave, Logan, WV and can be reached out via phone at 304-792-9473.

Location: 1 Washington Ave, Logan, WV, 25601-3965
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609518232
Provider Name
John Robert Kangas
Credential
PR
Provider Entity Type
Individual
Gender
Male
Address
1 Washington Ave, Logan, WV, 25601-3965
Phone Number
304-792-9473
Fax Number
Provider Enumeration Date
04/13/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1 Washington Ave
City
Logan
State
West Virginia
Zip
25601-3965
Phone Number
304-792-9473
Fax Number
person
Provider Business Mailing Address Details
Address
1 Washington Ave
City
Logan
State
West Virginia
Zip
25601-3965
Phone Number
304-792-9473
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
19.918 (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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