Organization
COUNSELING AND WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OSRIC MALONE PRIOLEAU FNP (CLINICAL DIRECTOR)
(304) 422-7300
Entity
Organization
Contact information
Practice address
936 MARKET ST, PARKERSBURG, WV 26101-4737
(304) 422-7300
(304) 428-3719
Mailing address
936 MARKET ST, PARKERSBURG, WV 26101-4737
(304) 422-7300
(304) 428-3719
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
78679
WV
Other
Enumeration date
05/09/2013
Last updated
05/09/2013
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