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Individual

MR. JONATHAN PAUL PISHNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA, LPC

Contact information

Practice address
160 FAYETTE ST, MORGANTOWN, WV 26505-0188
(304) 685-4103
Mailing address
PO BOX 434, DELLSLOW, WV 26531-0434
(304) 228-5769

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2059
WV

Other

Enumeration date
01/02/2014
Last updated
06/05/2020
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