Individual
HAILE MEADOWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
550 N EISENHOWER DR APT A, BECKLEY, WV 25801-3109
(304) 254-9610
(304) 254-9099
Mailing address
550 N EISENHOWER DR APT A, BECKLEY, WV 25801-3109
(304) 254-9610
(304) 254-9099
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/12/2014
Last updated
01/03/2022
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