Organization
METAMORPHOSIS COUNSELING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDALL ALAN CLIFFORD MA (CFO TREASURER)
(304) 768-1401
Entity
Organization
Contact information
Practice address
4501 MACCORKLE AVE SW, SUITE 103, SOUTH CHARLESTON, WV 25309-1444
(304) 768-1401
(304) 768-1402
Mailing address
2262 CIRCLE DR, MILTON, WV 25541-1004
(304) 743-8047
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
94
WV
Other
Enumeration date
03/21/2007
Last updated
08/22/2020
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