Individual provider · Type 1 NPI

Kathran Richardson

Peer Specialist · Petersburg, WV

NPI number 1619617008 Active

Practice location

7 Mountain View St
Petersburg, WV 26847-1796

Call (130) 425-7115 Map

Mailing address

1906 Sr 55
Moorefield, WV 26836-8513

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone 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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About NPI 1619617008

Kathran Richardson's National Provider Identifier is 1619617008, issued on Apr 1, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Petersburg, WV. The record was last updated on Apr 1, 2022.