NPI 1003527706

Jonathan Sullivan, PRSS

Practitioner Peer Specialist Saint Albans, WV

Practice location

Address: 2333 Maccorkle Ave STE 201, Saint Albans, WV 25177-2074
Phone: (304) 766-0060

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

Other Peer Specialist providers in West Virginia →

Registry record

NPI: 1003527706
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Dec 2022
Record last updated: 13 Dec 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.