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Kathran Richardson
Peer Specialist in Petersburg, West Virginia
NPI 1619617008

Kathran Richardson is a Peer Specialist based in Moorefield, WV. Kathran Richardson practices in Petersburg, WV. The NPI Number for Kathran Richardson is 1619617008 and holds a License No. (West Virginia).

The current practice location address for Kathran Richardson is 7 Mountain View St, Petersburg, WV and can be reached out via phone at 130-425-7115.

Location: 7 Mountain View St, Petersburg, WV, 26836-8513
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619617008
Provider Name
Kathran Richardson
Credential
Provider Entity Type
Individual
Gender
Female
Address
7 Mountain View St, Petersburg, WV, 26836-8513
Phone Number
130-425-7115
Fax Number
Provider Enumeration Date
04/01/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7 Mountain View St
City
Petersburg
State
West Virginia
Zip
26847-1796
Phone Number
130-425-7115
Fax Number
person
Provider Business Mailing Address Details
Address
7 Mountain View St
City
Petersburg
State
West Virginia
Zip
26847-1796
Phone Number
130-425-7115
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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