| NPI | 1285761049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FANNIE ELAINE LOUGHRIDGE Licensed Counselor 304-733-1833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WV 1699) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-08-22 |