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Katelyn R Buzzo, PRSS

Peer Specialist in Summersville, WV. Individual provider (NPI-1).

NPI number1013670165
StatusActive
Last updated in NPPESDec 22, 2023

Details

NPI
1013670165
Entity type
Individual (NPI-1)
Name
Katelyn R Buzzo
Credential
PRSS
Sex
Female
Sole proprietor
No
Enumeration date
Oct 15, 2021
Certification date
Dec 22, 2023
Last updated
Dec 22, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist23-9152WVYes

Practice location

131 Wellness Dr
Summersville, WV 26651-5402

Phone 304-872-6503

Mailing address

131 Wellness Dr
Summersville, WV 26651-5402

Phone 304-872-6503

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