Individual
JONNA R DAHMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3607 CORNSTALK RD, CRAWLEY, WV 24931-7253
(304) 618-7334
Mailing address
3607 CORNSTALK RD, CRAWLEY, WV 24931-7253
(304) 618-7334
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
CP00944288
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP00944288
LICENSE NUMBER
WV
Enumeration date
06/09/2021
Last updated
06/09/2021
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