Individual provider · Type 1 NPI

Kristy Rhyan Cantrell, PRSS-SUD

Peer Specialist · Logan, WV

NPI number 1932704178 Active

Practice location

20 Hospital Dr
Logan, WV 25601-3452

Call (304) 831-1101 Map

Fax (304) 831-1584

Mailing address

1 Washington Ave Ste 300
Logan, WV 25601-3966

Specialties and licenses

TaxonomyCodeLicense
Personal Care Attendant 3747P1801XNone listed
Peer Specialist Primary 175T00000X24-9177 (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 1932704178

Kristy Rhyan Cantrell, PRSS-SUD's National Provider Identifier is 1932704178, issued on Dec 4, 2020. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Logan, WV. The record was last updated on Jun 12, 2025.