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Organization
KANAWHA PASTORAL COUNSELING CENTER
Active
Organization
KANAWHA PASTORAL COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANDY POWERS (OFFICE COORDINATOR)
(304) 346-9689
Entity
Organization
Contact information
Practice address
16 LEON SULLIVAN WAY, SUITE 300, CHARLESTON, WV 25301-2402
(304) 346-9689
(304) 345-4601
Mailing address
1116 KANAWHA BLVD E, CHARLESTON, WV 25301-2403
(304) 346-9689
(304) 345-4601
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
03/09/2007
Last updated
09/21/2021
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