Organization
EVERGREEN COUNSELING AND YOGA THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE MARTIN LPC (OWNER)
(304) 295-4484
Entity
Organization
Contact information
Practice address
505 28TH ST, VIENNA, WV 26105-1451
(304) 295-4484
Mailing address
505 28TH ST, VIENNA, WV 26105-1451
(304) 295-4484
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/31/2023
Last updated
03/31/2023
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