Individual
LEONARD LEROY WELLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A,, C.A.C.
Contact information
Practice address
2121 EOFF ST, WHEELING, WV 26003-3805
(304) 234-3570
(304) 234-3511
Mailing address
RR 1 BOX 152A, GLEN EASTON, WV 26039-9730
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
WV
103T00000X
Psychologist
Primary
1003
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003
BCBS
WV
Enumeration date
04/08/2011
Last updated
04/08/2011
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