Individual
DARICE RENEE YERKOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
105 N WEDGE ST, BRIDGEPORT, WV 26330-2022
(304) 598-0344
Mailing address
235 HIGH ST STE 322, MORGANTOWN, WV 26505-5455
(681) 214-0025
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
BP00945134
WV
101YM0800X
Mental Health Counselor
BP00945134
WV
1041C0700X
Clinical Social Worker
Primary
BP00945134
WV
1041C0700X
Clinical Social Worker
DP00945134
WV
106H00000X
Marriage & Family Therapist
BP00945134
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1041C0700X
—
WV
Enumeration date
05/03/2018
Last updated
01/20/2023
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