| NPI | 1992059745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY L AKERS Chief Executive Officer 304-425-9541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WV 19) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WV 19) |
| 101YM0800X Counselor, Mental Health (Licence: WV 19) | |
| 101YP2500X Counselor, Professional (Licence: WV 19) | |
| 103TC0700X Psychologist, Clinical (Licence: WV 19) | |
| 103TC1900X Psychologist, Counseling (Licence: WV 19) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: WV 19) | |
| 1041C0700X Social Worker, Clinical (Licence: WV 19) | |
| 106H00000X Marriage & Family Therapist (Licence: WV 19) | |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2012-11-01 |