Individual provider · Type 1 NPI

James Jackson

Peer Specialist · Buckhannon, WV

NPI number 1104511542 Active

Practice location

34 N Kanawha St
Buckhannon, WV 26201-2714

Call (304) 473-5600 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 1104511542

James Jackson's National Provider Identifier is 1104511542, issued on Apr 11, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Buckhannon, WV. The record was last updated on Apr 11, 2023.