Individual
HEATHER THURBON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
225 FAIRMONT AVE, FAIRMONT, WV 26554-2710
(681) 404-6869
(681) 404-6871
Mailing address
225 FAIRMONT AVE, FAIRMONT, WV 26554-2710
(681) 404-6869
(681) 404-6871
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BP00942809
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP00942809
LGSW
WV
Enumeration date
10/03/2019
Last updated
11/27/2023
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