Individual
CULLENA JILL MCCLANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
41 W 5TH AVE, WILLIAMSON, WV 25661-3201
(304) 235-3390
Mailing address
751 LEFT FORK ELK CRK, DELBARTON, WV 25670-7340
(540) 420-8881
(304) 475-2011
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
403
—
WV
Enumeration date
08/21/2018
Last updated
08/21/2018
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