Teisha Marie Prim, PRSS
Peer Specialist in Morgantown, WV. Individual provider (NPI-1).
NPI number1669190815
StatusActive
Last updated in NPPESAug 15, 2022
Details
- NPI
- 1669190815
- Entity type
- Individual (NPI-1)
- Name
- Teisha Marie Prim
- Credential
- PRSS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 15, 2022
- Certification date
- Aug 15, 2022
- Last updated
- Aug 15, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | 21-9105 | WV | Yes |
Practice location
206 Spruce StMorgantown, WV 26505-7539
Phone 304-413-4300
Mailing address
206 Spruce StMorgantown, WV 26505-7539
Phone 304-413-4300
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