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Organization
MORGANTOWN PASTORAL COUNSELING CENTER INC
Active
Organization
MORGANTOWN PASTORAL COUNSELING CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE DAVID MOSES ED.D. (DIRECTOR)
(304) 599-5751
Entity
Organization
Contact information
Practice address
1062 MAPLE DR STE 1, MORGANTOWN, WV 26505-2815
(304) 599-5751
(304) 599-2124
Mailing address
1062 MAPLE DR, SUITE1, MORGANTOWN, WV 26505-0809
(304) 599-5751
(304) 599-2124
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
NULL
101YP2500X
Professional Counselor
Primary
—
—
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001710123
BLUE CROSS BLUE SHIELD
WV
05
—
0203677000
—
WV
Enumeration date
11/16/2006
Last updated
06/03/2010
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