| NPI | 1447370275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH SUZANNE BOHMAN Counselor 304-704-6326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WV AP00941911) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WV LPC1692) |
| 101Y00000X Counselor (Licence: NCC92809) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2025-09-11 |