Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kyle Fetherolf, PRSS

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1316458912

Kyle Fetherolf, PRSS is an Addiction (Substance Use Disorder) Counselor in Huntington, West Virginia. Practices as a sole proprietor. Licensed in Ohio and West Virginia.

Licensed in
OH, WV
In the registry since
2017
Specialties on file
3
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Practice location Address checks out

1402 4th Ave
Huntington, WV 25701-2403
Phone: (304) 529-4276
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Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X (WV)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 163662 (OH)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1316458912
Entity typeIndividual (Type 1)
GenderMale
Credentials PRSS
Sole proprietorYes
NPI enumeratedOctober 23, 2017
Last updated in NPPESOctober 27, 2021
Certification dateOctober 27, 2021
Mailing address1402 4th Ave, Huntington, WV 25701-2403

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