| NPI | 1609932623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL ARLENE SHADE Licensed Professional Counselor 304-258-5353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WV 1001) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2020-08-22 |