Individual provider · Type 1 NPI

Jacob S. Queen, PRSS

Peer Specialist · Huntington, WV

NPI number 1689406563 Active

Practice location

55 Donohoe Dr
Huntington, WV 25705-8887

Call (304) 525-7851 Map

Fax (304) 525-1073

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X24-9103 (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 1689406563

Jacob S. Queen, PRSS's National Provider Identifier is 1689406563, issued on Aug 19, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Huntington, WV. The record was last updated on Sep 18, 2026.