Individual
KRISTEN JEANETTE MUMAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
80 WAR MEMORIAL TRL STE B, BERKELEY SPRINGS, WV 25411-1807
(304) 258-3146
Mailing address
3094 CHARLES TOWN RD, KEARNEYSVILLE, WV 25430-2669
(304) 901-2070
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
583
WV
Other
Enumeration date
06/08/2020
Last updated
03/15/2021
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