| NPI | 1992573679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFTON ADKINS Licensed Professional Counselor 304-712-8814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 101YS0200X Counselor, School | |
| Enumeration Date | 2023-12-13 |
| Last Update Date | 2023-12-13 |