Organization
HOMETOWN PROFESSIONAL COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGGUNA R ROWE M.ED. NCC, LPC (OWNER)
(304) 320-5544
Entity
Organization
Contact information
Practice address
1002 MARSHALL HIGHWAY, BRADSHAW, WV 24817
(304) 320-5544
Mailing address
2004 OOZLEY BRANCH RD, PAYNESVILLE, WV 24873-2703
(304) 967-7813
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
07/24/2023
Last updated
07/27/2023
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