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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JULIE CANTERBURY

Deactivated Sole Proprietor

JULIE CANTERBURY is a Peer Specialist healthcare provider located in FAYETTEVILLE, West Virginia. NPI 1316604200 is deactivated in the NPPES registry. Verify at CMS.

Peer Specialist · FAYETTEVILLE, WV

This NPI has been deactivated. The record was deactivated on January 10, 2023. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1316604200
Provider Type
Individual
Gender
Female
NPI Issued
Nov 26, 2021 (1.1232876712329 yrs)
Last Updated
Apr 4, 2023
Deactivated
Jan 10, 2023
License
22-9153 (WV)
Sole Proprietor
Yes

Practice Information

Address
100 N COURT ST
FAYETTEVILLE, WV, 258401200
Browse WV providers · Browse ZIP 25840
Phone
3045744229
Primary Specialty
Peer Specialist
175T00000X
Additional Specialty
Peer Specialist

Other Peer Specialist Providers in FAYETTEVILLE, WV

Name Credential NPI
MRS. AMY LEA GILLIAM PRSS 1083347470
MRS. LISA MARIE MARSHALL PRSS 1699409961
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.