| NPI | 1427627892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN NICOLE JOHNSON-GIBEAUT Owner/Counselor 304-610-2477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-06-21 |
| Last Update Date | 2021-06-21 |