Individual provider · Type 1 NPI
Julie Canterbury
Peer Specialist · Fayetteville, WV
NPI number
1316604200
Active · reactivated Jan 17, 2023
Practice location
100 N Court St
Fayetteville, WV 25840-1200
Mailing address
100 Church St
Fayetteville, WV 25840-1256
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Personal Care Attendant | 3747P1801X | None listed |
| Peer Specialist Primary | 175T00000X | 22-9153 (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.
Other peer specialist providers in Fayetteville
About NPI 1316604200
Julie Canterbury's National Provider Identifier is 1316604200, issued on Nov 26, 2021. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Fayetteville, WV. The record was last updated on Apr 4, 2023.