Individual
STEVEN R AMTOWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
130 CENTER ST, KEYSER, WV 26726-3520
(304) 788-1113
Mailing address
130 CENTER ST, KEYSER, WV 26726-3520
(304) 788-1113
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YP2500X
Professional Counselor
2393
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2393
WV BOARD OF EXAMINERS IN COUNSELING
WV
Enumeration date
01/26/2017
Last updated
01/11/2019
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