Individual provider · Type 1 NPI
Estela Eloisa Jones I, PRSS
Peer Specialist · Charleston, WV
NPI number
1205640158
Active
Practice location
210 Virginia St W
Charleston, WV 25302-2211
Fax (681) 205-8587
Mailing address
1514 Kanawha Blvd W
Charleston, WV 25387-2533
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist | 175T00000X | 23971 (WV) |
| Peer Specialist Primary | 175T00000X | 23-971 (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 1205640158
Estela Eloisa Jones I, PRSS's National Provider Identifier is 1205640158, issued on Feb 3, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Charleston, WV. The record was last updated on Feb 3, 2025.