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John Walton Smith, PRSS
Peer Specialist in Logan, West Virginia
NPI 1649984535

John Walton Smith is a Peer Specialist based in Logan, WV. John Walton Smith practices in Logan, WV and has the professional credentials of PRSS. The NPI Number for John Walton Smith is 1649984535 and holds a License No. 22-9138 (West Virginia).

The current practice location address for John Walton Smith is 1 Washington Ave Ste 3, Logan, WV and can be reached out via phone at 304-792-8689.

Location: 1 Washington Ave Ste 3, Logan, WV, 25601-3965
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649984535
Provider Name
John Walton Smith
Credential
PRSS
Provider Entity Type
Individual
Gender
Male
Address
1 Washington Ave Ste 3, Logan, WV, 25601-3965
Phone Number
304-792-8689
Fax Number
Provider Enumeration Date
01/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1 Washington Ave Ste 3
City
Logan
State
West Virginia
Zip
25601-3965
Phone Number
304-792-8689
Fax Number
person
Provider Business Mailing Address Details
Address
1 Washington Ave Ste 3
City
Logan
State
West Virginia
Zip
25601-3965
Phone Number
304-792-8689
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
22-9138 (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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