Individual provider · Type 1 NPI

Darian Wade Long I

Peer Specialist · Kennett, MO

NPI number 1912303405 Active

Practice location

925 Highway Vv
Kennett, MO 63857

Call (573) 888-5925 Map

Fax (573) 888-9365

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X8162 (MO)

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 1912303405

Darian Wade Long I's National Provider Identifier is 1912303405, issued on Nov 10, 2014. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Kennett, MO. The record was last updated on Nov 10, 2014.