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Organization
MLS COUNSELING SERVICES, LLC
Active
Organization
MLS COUNSELING SERVICES, LLC
Active
Other names
Mary Lou Stottlemyer LPC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY LOU STOTTLEMYER LPC (LICENSED PROFESSIONAL COUNSELOR)
(301) 964-0083
Entity
Organization
Contact information
Practice address
3361 VALLEY ROAD, BERKELEY SPRINGS, WV 25411
(301) 964-0083
(304) 258-9313
Mailing address
P.O. BOX 150, BERKELEY SPRINGS, WV 25411
(301) 964-0083
(304) 258-9313
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1736
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001818410
MOUNTAIN STATE BLUE CROSS BLUE SHIELD
WV
01
—
270526
COMPSYCH
WV
01
—
309967
ANTHEM
WV
01
—
O802284M
OPTIMA HEALTH
WV
Enumeration date
06/18/2010
Last updated
06/18/2010
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