Individual
RONNI BETH VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED , NCC,LPC #2578
Contact information
Practice address
101 DINGESS ST, LOGAN, WV 25601-3603
(304) 688-9269
Mailing address
PO BOX 307, VERDUNVILLE, WV 25649-0307
(304) 784-4059
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2578
WV
Other
Enumeration date
03/01/2022
Last updated
03/01/2022
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