Individual provider · Type 1 NPI
Anthony Wayne Stevenson, PRSS
Peer Specialist · Charleston, WV
NPI number
1699663013
Active
Practice location
9103 California Ave Apt 17
Charleston, WV 25315-2045
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | 25-979SUD (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 1699663013
Anthony Wayne Stevenson, PRSS's National Provider Identifier is 1699663013, issued on Jun 25, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Charleston, WV. The record was last updated on Jul 31, 2025.