Individual
MARYANN GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3375 US ROUTE 60 E, HUNTINGTON, WV 25705-2837
(304) 525-7851
(304) 697-1286
Mailing address
145 KENOVA AVE, WAYNE, WV 25570
(304) 525-7851
(304) 697-1286
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1908
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005355002
—
WV
Enumeration date
04/01/2010
Last updated
04/01/2010
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