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Kalla M Farmer, PR
Peer Specialist in Princeton, West Virginia
NPI 1972231538

Kalla M Farmer is a Peer Specialist based in Princeton, WV. Kalla M Farmer practices in Princeton, WV and has the professional credentials of PR. The NPI Number for Kalla M Farmer is 1972231538 and holds a License No. (West Virginia).

The current practice location address for Kalla M Farmer is 200 12Th Street Ext, Princeton, WV and can be reached out via phone at 304-425-9541.

Location: 200 12Th Street Ext, Princeton, WV, 24740-2329
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972231538
Provider Name
Kalla M Farmer
Credential
PR
Provider Entity Type
Individual
Gender
Female
Address
200 12Th Street Ext, Princeton, WV, 24740-2329
Phone Number
304-425-9541
Fax Number
Provider Enumeration Date
08/11/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
200 12Th Street Ext
City
Princeton
State
West Virginia
Zip
24740-2329
Phone Number
304-425-9541
Fax Number
person
Provider Business Mailing Address Details
Address
200 12Th Street Ext
City
Princeton
State
West Virginia
Zip
24740-2329
Phone Number
304-425-9541
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(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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