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Organization

WILLOW PATH COUNSELING, LLC

Active
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Organization

WILLOW PATH COUNSELING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMIE LYNN ROBERTS LPCC (OWNER)
(304) 280-9798
Entity
Organization

Contact information

Practice address
4100 CENTRAL AVE, SHADYSIDE, OH 43947-1210
(304) 280-9798
Mailing address
4100 CENTRAL AVE, SHADYSIDE, OH 43947-1210

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E3870
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1497907208
NPI
WV
Enumeration date
03/20/2013
Last updated
03/20/2013
About Stedi
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  • EDI platform