Individual provider · Type 1 NPI
John Robert Kangas, PR
Peer Specialist · Logan, WV
NPI number
1609518232
Active
Practice location
1 Washington Ave
Logan, WV 25601-3965
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | 19.918 (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.
3 other providers at this address
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About NPI 1609518232
John Robert Kangas, PR's National Provider Identifier is 1609518232, issued on Apr 13, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Logan, WV. The record was last updated on Apr 13, 2022.