Individual provider · Type 1 NPI

Marie Dudley

Peer Specialist · Charleston, WV

NPI number 1760109920 Active

Practice location

1109 Jefferson Rd Ste C
Charleston, WV 25309-8815

Mailing address

5012 Washinton Ave SE
Charleston, WV 25304

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 1760109920

Marie Dudley's National Provider Identifier is 1760109920, issued on Oct 27, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Charleston, WV. The record was last updated on Oct 27, 2022.