Organization
MINERAL COUNTY COMMUNITY CORRECTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA HOCKADAY (DIRECTOR)
(304) 788-0593
Entity
Organization
Contact information
Practice address
130 N MAIN ST, KEYSER, WV 26726-3242
(304) 788-0593
Mailing address
PO BOX 692, KEYSER, WV 26726-0692
(304) 788-0593
(304) 788-3383
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/19/2021
Last updated
05/23/2022
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