ICPR Beverly Jovon Sadler, NPI 1982330973
Peer Specialist in Charleston, WV, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1982330973
NPI Entity Type Individual
Provider Name ICPR Beverly Jovon Sadler
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 408 Tennessee Ave, Charleston, WV, US
Provider Mailing Address 1622 Virginia St E Apt A, Charleston, WV, US, 253112143
Gender Female
Is Sole Proprietor? Yes
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Group Taxonomy

Taxonomy Code 193400000X
Taxonomy Name 193400000X SINGLE SPECIALTY GROUP
Definition A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Primary Taxonomy

Taxonomy Code

175T00000X

Taxonomy Name Peer Specialist
Classification

Peer Specialist

Group

Other Service Providers

License No. 21-936
License State WV
Description 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.

Business Address

ICPR Beverly Jovon Sadler
408 Tennessee Ave

Charleston, WV, US

Phone: 304-541-7243

Mailing Address

ICPR Beverly Jovon Sadler
1622 Virginia St E Apt A
Charleston, WV, US
ZIP 253112143
Phone: 304-541-7243

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Mary Mccullough

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