| NPI | 1003596156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA N LYNCH Licensed Professional Counselor 304-704-7784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-07-24 |
| Last Update Date | 2023-07-24 |