Individual provider · Type 1 NPI
Keisha Nicole Montgomery, PRSS
Peer Specialist · Williamson, WV
NPI number
1356089577
Active
Practice location
101 Logan St Ste 200
Williamson, WV 25661-0016
Mailing address
141 Cow Creek Rd
Omar, WV 25638-9516
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Peer Specialist Primary | 175T00000X | None listed |
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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- Nathaniel SiggersPeer Specialist Williamson, WV NPI 1245975150
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About NPI 1356089577
Keisha Nicole Montgomery, PRSS's National Provider Identifier is 1356089577, issued on May 26, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Williamson, WV. The record was last updated on May 26, 2022.