Individual provider · Type 1 NPI

Douglas Clark, PRSS

Peer Specialist · St. Albans, WV

NPI number 1548039340 Active

Practice location

2333 Maccorkle Ave Ste 201
St. Albans, WV 25177-2074

Call (304) 766-0060 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X23-9200 (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 1548039340

Douglas Clark, PRSS's National Provider Identifier is 1548039340, issued on Dec 21, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in St. Albans, WV. The record was last updated on Dec 28, 2023.