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Kathern Ashleymarie Counts
Peer Specialist in Fairmont, West Virginia
NPI 1790400349

Kathern Ashleymarie Counts is a Peer Specialist based in Fairmont, WV. Kathern Ashleymarie Counts practices in Fairmont, WV. The NPI Number for Kathern Ashleymarie Counts is 1790400349 and holds a License No. 1609295112 (West Virginia).

The current practice location address for Kathern Ashleymarie Counts is 10 Crosswind Dr, Fairmont, WV and can be reached out via phone at 304-296-1731 and via fax at 304-363-2228.

Location: 10 Crosswind Dr, Fairmont, WV, 26554-9118
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790400349
Provider Name
Kathern Ashleymarie Counts
Credential
Provider Entity Type
Individual
Gender
Female
Address
10 Crosswind Dr, Fairmont, WV, 26554-9118
Phone Number
304-296-1731
Fax Number
304-363-2228
Provider Enumeration Date
10/06/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1609295112 05 WV
NA 05 WV
institution
Provider Business Practice Location Address Details
Address
10 Crosswind Dr
City
Fairmont
State
West Virginia
Zip
26554-9118
Phone Number
304-296-1731
Fax Number
304-363-2228
person
Provider Business Mailing Address Details
Address
10 Crosswind Dr
City
Fairmont
State
West Virginia
Zip
26554-9118
Phone Number
304-296-1731
Fax Number
304-363-2228
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
1609295112 (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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