Individual provider · Type 1 NPI

Jacklyn Michelle Tull, PRSS

Peer Specialist · Charleston, WV

NPI number 1801692603 Active

Practice location

1303 Washington St W
Charleston, WV 25302-1333

Call (304) 202-1699 Map

Mailing address

31 Clay Ct
Mount Hope, WV 25880-1501

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 1801692603

Jacklyn Michelle Tull, PRSS's National Provider Identifier is 1801692603, issued on Feb 21, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Charleston, WV. The record was last updated on Feb 21, 2025.