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Karen Dominick, PRSS

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

NPI number1700525268
StatusActive
Last updated in NPPESJun 2, 2022

Details

NPI
1700525268
Entity type
Individual (NPI-1)
Name
Karen Dominick
Credential
PRSS
Sex
Female
Sole proprietor
No
Enumeration date
Jun 2, 2022
Certification date
Jun 2, 2022
Last updated
Jun 2, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist17-907WVYes

Practice location

118 Warren Ave
Beckley, WV 25801-6950

Phone 304-860-0618

Mailing address

118 Warren Ave
Beckley, WV 25801-6950

Phone 304-305-0699

Other practice locations

500 Virginia St E Ste 400
Charleston, WV 25301-2111

Phone 304-206-3784

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