| NPI | 1043734551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL DEAN PHILPOTT Licensed Professional Counselor 304-295-3345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WV 1598) |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2022-07-21 |