Individual
TINA M STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
651 COLLIERS WAY, SUITE 412, WEIRTON, WV 26062-5053
(304) 723-3423
(304) 723-3426
Mailing address
PO BOX 348, COLLIERS, WV 26035-0348
(304) 723-3423
(304) 723-3426
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
492
WV
104100000X
Social Worker
CP00451812
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001718471
BLUE CROSS/BLUE SHIELD
WV
Enumeration date
09/20/2006
Last updated
02/22/2010
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