Individual
MR. JEFFRY D LEVESQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LICSW
Contact information
Practice address
510 S SEMINARY ST, CHARLES TOWN, WV 25414-1347
(304) 240-7040
Mailing address
510 S. SEMINARY ST., CHARLES TOWN, WV 25414-1347
(304) 240-7040
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
02517
MD
101YM0800X
Mental Health Counselor
0904006979
VA
101YM0800X
Mental Health Counselor
Primary
DP00941308
WV
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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