Individual provider · Type 1 NPI

Jack Shomo

Peer Specialist · Elkins, WV

NPI number 1063212835 Active

Practice location

1123 S Davis Ave
Elkins, WV 26241-3529

Call (681) 378-3908 Map

Mailing address

1008 S Davis Ave
Elkins, WV 26241-3528

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 1063212835

Jack Shomo's National Provider Identifier is 1063212835, issued on Mar 19, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Elkins, WV. The record was last updated on Mar 19, 2025.