Individual provider · Type 1 NPI

Ellen Gibson, PRSS-SUD

Peer Specialist · Princeton, WV

NPI number 1265228050 Active

Practice location

200 12th Street Ext
Princeton, WV 24740-2329

Call (304) 425-9541 Map

Fax (304) 800-4562

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X24-9179 (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 1265228050

Ellen Gibson, PRSS-SUD's National Provider Identifier is 1265228050, issued on Apr 17, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Princeton, WV. The record was last updated on Apr 17, 2025.