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Organization

DELUCA FAMILY WELLNESS CENTER, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MATTHEW JOSEPH DELUCA M.S. , LPC (MANAGING MEMBER)
(304) 626-3541
Entity
Organization

Contact information

Practice address
RT. 2 BOX 406 SUITE 121, CLARKSBURG, WV 26301
(304) 626-3541
(304) 626-3174
Mailing address
RT. 2 BOX 406 SUITE 121, CLARKSBURG, WV 26301
(304) 626-3541
(304) 626-3174

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1540
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1540
WV LPC
WV
Enumeration date
06/27/2007
Last updated
01/01/2008
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