Individual provider · Type 1 NPI

Nicole Tibbs

Peer Specialist · Charleston, WV

NPI number 1003456468 Active

Practice location

102 Patrick Street Plz
Charleston, WV 25387-2444

Call (304) 233-3200 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: 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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About NPI 1003456468

Nicole Tibbs's National Provider Identifier is 1003456468, issued on Jan 13, 2020. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Charleston, WV. The record was last updated on Jan 13, 2020.