Organization
SYNERGY INTEGRATIVE COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL CHARLES RICHARDS LGSW (COUNSELOR)
(304) 366-7288
Entity
Organization
Contact information
Practice address
379 DEAN DR, FAIRMONT, WV 26554-8858
(304) 366-7288
Mailing address
379 DEAN DR, FAIRMONT, WV 26554-8858
(304) 366-7288
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BP00944922
WV
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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