Individual provider · Type 1 NPI

Hailey Rodgers, CPRS

Peer Specialist · Johnson City, TN

NPI number 1396362349 Active

Practice location

2408 Susannah St Ste 1
Johnson City, TN 37601-1765

Call (423) 434-6677 Map

Fax (423) 461-0000

Mailing address

504 Beechwood Dr
Kingsport, TN 37663-2455

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X1234 (TN)
Peer Specialist Primary 175T00000X1234 (TN)

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 1396362349

Hailey Rodgers, CPRS's National Provider Identifier is 1396362349, issued on Jun 25, 2020. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Johnson City, TN. The record was last updated on Jun 25, 2020.