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1477384949
JOHNATHAN ISAACS
CHARLESTON, WV
NPI
1477384949
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-08-08
Last Update Date
2024-08-08
Business Address
JOHNATHAN ISAACS
1206 QUARRIER ST
CHARLESTON, WV 25301-1843
Phone number: 304-513-3900
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Mailing Address
JOHNATHAN ISAACS
1206 QUARRIER ST
CHARLESTON, WV 25301-1843
Phone number: 304-513-3900
Copy
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