Organization
MOUNTAIN CAP OF WEST VIRGINIA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY MCMURRAY (EXECUTIVE DIRECTOR)
(304) 472-1500
Entity
Organization
Contact information
Practice address
26 N KANAWHA ST STE 201, BUCKHANNON, WV 26201-2714
(304) 472-1500
(304) 472-9064
Mailing address
26 N KANAWHA ST STE 201, BUCKHANNON, WV 26201-2714
(304) 472-1500
(304) 472-9064
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
DP00945017
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810003013
—
WV
Enumeration date
07/21/2017
Last updated
07/21/2022
Update your record
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