Individual
MATTHEW WADE BUNNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
930 CHESTNUT RIDGE RD, MORGANTOWN, WV 26505-2807
(304) 293-5323
Mailing address
PO BOX 780, MORGANTOWN, WV 26507-0780
(304) 285-7101
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
243
WV
Other
Enumeration date
03/04/2015
Last updated
03/04/2015
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