KYLE FETHEROLF, PRSS
Peer Specialist
Active
Individual
NPI: 1316458912
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | No | 163662 (OH) |
| Case Manager/Care Coordinator | 171M00000X | No | - |
| Peer Specialist | 175T00000X | Yes | - |
Frequently Asked Questions
NPI 1316458912 is the National Provider Identifier for KYLE FETHEROLF, PRSS, a Peer Specialist provider located in Huntington, WV. This NPI was enumerated on October 23, 2017.
KYLE FETHEROLF, PRSS practices at 1402 4TH AVE, Huntington, WV 25701.
Quick Facts
- NPI
- 1316458912
- Type
- Individual
- Enumerated
- Oct 23, 2017
- Last Updated
- Oct 27, 2021
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