| NPI | 1508364100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY ANNETTTE JONES Therapist 304-267-0818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WV DP00942137) |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2018-01-29 |