Individual
PAULINA KRISTEN ELMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LGSW
Contact information
Practice address
701 BENONI AVE, FAIRMONT, WV 26554-2508
(681) 404-6135
Mailing address
701 BENONI AVE, FAIRMONT, WV 26554-2508
(681) 404-6135
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
BP00945952
WV
101YM0800X
Mental Health Counselor
Primary
SW041915059
—
Other
Enumeration date
06/25/2021
Last updated
11/02/2023
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