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Zachery Michael Hodge

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

NPI number1922972777
StatusActive
Last updated in NPPESApr 28, 2026

Details

NPI
1922972777
Entity type
Individual (NPI-1)
Name
Zachery Michael Hodge
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 3, 2025
Certification date
Apr 28, 2026
Last updated
Apr 28, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist25-9151sudWVYes
172V00000X Community Health Worker–WV

Practice location

1236 5th Ave
Huntington, WV 25701-2207

Phone 681-204-5400 · Fax 681-378-6108

Mailing address

1236 5th Ave
Huntington, WV 25701-2207

Phone 681-204-5400 · Fax 681-378-6108

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