Individual
MR. MICHAEL A KODRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
3501 EMERSON AVE, SUITE 2-B, PARKERSBURG, WV 26104-1849
(304) 420-0940
(304) 865-2214
Mailing address
3501 EMERSON AVE, SUITE 2-B, PARKERSBURG, WV 26104-1849
(304) 420-0940
(304) 865-2214
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1197
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000234570
ANTHEM PIN NUMBER
WV
01
—
096167
VALUE OPTIONS PIN NUMBER
WV
01
—
180073
COMPSYCH PIN NUMBER
WV
01
—
2031476
CIGNA HEALTH CARE PIN NUM
WV
01
—
7227387
AETNA PROVIDER PIN NUMBER
WV
01
—
Y288393
HEALTH PLAN PIN NUMBER
WV
Enumeration date
08/13/2006
Last updated
07/08/2007
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