JAMES LOGAN SHADOWFAX FRAME

MADISON, WV
NPI1770268427
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WV  2596)
Enumeration Date2023-06-20
Last Update Date2023-08-23
Business Address
JAMES LOGAN SHADOWFAX FRAME LPC, NCC
467 MAIN ST FL 3
MADISON, WV 25130-2200
Phone number: 304-369-1230
Mailing Address
JAMES LOGAN SHADOWFAX FRAME LPC, NCC
467 MAIN ST FL 3
MADISON, WV 25130-2200
Phone number: 304-784-5583
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