Individual provider · Type 1 NPI
Jessica Nichols, PRSS
Peer Specialist · Montgomery, WV
NPI number
1629936539
Active
Practice location
503 4th Ave
Montgomery, WV 25136-2106
Mailing address
516 Hall St Apt 4
Charleston, WV 25302-1949
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| 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.
2 other providers at this address
Other peer specialist providers in Montgomery
About NPI 1629936539
Jessica Nichols, PRSS's National Provider Identifier is 1629936539, issued on Jan 12, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Montgomery, WV. The record was last updated on Jan 12, 2026.