Individual
JASIAHA DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1021 QUARRIER ST, CHARLESTON, WV 25301-2338
(304) 513-3900
Mailing address
1021 QUARRIER ST, CHARLESTON, WV 25301-2338
(304) 513-3900
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
519
WV
Other
Enumeration date
02/01/2023
Last updated
02/01/2023
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