Provider Demographics
NPI:1992402549
Name:NUNEZ, CARLA RAYE (PEER SUPPORT CERTIFI)
Entity type:Individual
Prefix:
First Name:CARLA
Middle Name:RAYE
Last Name:NUNEZ
Suffix:
Gender:F
Credentials:PEER SUPPORT CERTIFI
Other - Prefix:
Other - First Name:CARLA
Other - Middle Name:RAYE
Other - Last Name:CADLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PEER SUPPORT
Mailing Address - Street 1:PO BOX 232
Mailing Address - Street 2:
Mailing Address - City:SOPHIA
Mailing Address - State:WV
Mailing Address - Zip Code:25921-0232
Mailing Address - Country:US
Mailing Address - Phone:681-222-8292
Mailing Address - Fax:
Practice Address - Street 1:345 PRINCE ST STE 1
Practice Address - Street 2:
Practice Address - City:BECKLEY
Practice Address - State:WV
Practice Address - Zip Code:25801-4515
Practice Address - Country:US
Practice Address - Phone:304-254-8709
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-14
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist