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Randall Brown

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

NPI number1134854458
StatusActive
Last updated in NPPESNov 17, 2025

Details

NPI
1134854458
Entity type
Individual (NPI-1)
Name
Randall Brown
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 20, 2022
Certification date
Nov 17, 2025
Last updated
Nov 17, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist19-900WVYes

Practice location

20 Scott Ave Ste 301
Morgantown, WV 26508-8857

Phone 304-241-4000

Mailing address

20 Scott Ave Ste 301
Morgantown, WV 26508-8857

Phone 304-241-4000

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