Individual provider · Type 1 NPI

Paul Averett Heron

Peer Specialist · Powell, WY

NPI number 1306712799 Active

Practice location

125 S Division St
Powell, WY 82435-2409

Call (307) 754-7970 Map

Fax (307) 333-0470

Mailing address

PO Box 847
Powell, WY 82435-0847

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X197 (WY)

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.

13 other providers at this address

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About NPI 1306712799

Paul Averett Heron's National Provider Identifier is 1306712799, issued on Oct 14, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Powell, WY. The record was last updated on Oct 14, 2025.