| NPI | 1063619641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA MCMAHON ASHLEY President 304-722-9119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WV DP00080547) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WV 754) |
| 101YP2500X Counselor, Professional (Licence: WV 321) | |
| 101YP2500X Counselor, Professional (Licence: WV 438) | |
| 101YP2500X Counselor, Professional (Licence: WV 209) | |
| 103T00000X Psychologist (Licence: WV 477) | |
| 104100000X Social Worker (Licence: WV CP00940355) | |
| 1041C0700X Social Worker, Clinical (Licence: WV CP00454343) | |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2025-09-11 |