Individual provider · Type 1 NPI

Waneta K. Cunningham, PRSS

Peer Specialist · Princeton, WV

NPI number 1104623172 Active

Practice location

106 Thorn St
Princeton, WV 24740-3560

Mailing address

1420 Everette Bailey Rd
Matoaka, WV 24736-7210

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X24-9119 (WV)

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 1104623172

Waneta K. Cunningham, PRSS's National Provider Identifier is 1104623172, issued on Feb 27, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Princeton, WV. The record was last updated on Sep 4, 2025.