Individual
BRIAN CAMERON SIDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 KENTON DR STE 3, CHARLESTON, WV 25311-1266
(304) 941-6256
Mailing address
PO BOX 1013, ELKVIEW, WV 25071-1013
(304) 881-8652
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18788
—
WV
Enumeration date
08/20/2021
Last updated
05/18/2026
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