Individual provider · Type 1 NPI

Eustacia O. Hudson-Wagner

Peer Specialist · Port Arthur, TX

NPI number 1811478449 Active

Practice location

2548 Memorial Blvd
Port Arthur, TX 77640-2825

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 1811478449

Eustacia O. Hudson-Wagner's National Provider Identifier is 1811478449, issued on Aug 22, 2018. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Port Arthur, TX. The record was last updated on Aug 22, 2018.