Individual
JOSEPH R WINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
613 W PIKE ST, CLARKSBURG, WV 26301-2626
(304) 622-5323
(304) 622-5324
Mailing address
613 W PIKE ST, CLARKSBURG, WV 26301-2626
(304) 622-5323
(304) 622-5324
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3069
WV
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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