TANYA D. ZICKEFOOSE

ELKINS, WV
NPI1265587760
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WV  02-309)
Enumeration Date2007-01-24
Last Update Date2007-07-08
Business Address
-- TANYA D. ZICKEFOOSE CCAC
725 YOKUM ST
ELKINS, WV 26241-3353
Phone number: 304-636-3232
Mailing Address
-- TANYA D. ZICKEFOOSE CCAC
205 RANDOLPH ST
BUCKHANNON, WV 26201-2309
Phone number:
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