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Individual

MS. JENNIFER KANGAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1340 HAL GREER BLVD, HUNTINGTON, WV 25701-3800
(304) 526-2049
Mailing address
1340 HAL GREER BOULEVARD, HUNTINGTON, WV 25701-3800
(304) 526-2049

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1711
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001718755
MOUNTAIN STATE BLUE CROSS
WV
Enumeration date
04/20/2007
Last updated
06/10/2009
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