NICOLE TIBBS

Peer Specialist

Active Individual
NPI: 1003456468

Practice Address

102 PATRICK STREET PLZ
Charleston, WV 25387

Phone: (304) 233-3200

Specialties

Specialty Code Primary License
Peer Specialist 175T00000X Yes -

Frequently Asked Questions

NPI 1003456468 is the National Provider Identifier for NICOLE TIBBS, a Peer Specialist provider located in Charleston, WV. This NPI was enumerated on January 13, 2020.
NICOLE TIBBS practices at 102 PATRICK STREET PLZ, Charleston, WV 25387.

Quick Facts

NPI
1003456468
Type
Individual
Enumerated
Jan 13, 2020
Last Updated
Jan 13, 2020

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