Individual
STACEY LEE HENLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
1206 SUNCREST TOWN CENTRE DR, MORGANTOWN, WV 26505-1828
(304) 503-6239
(681) 368-3437
Mailing address
1206 SUNCREST TOWN CENTRE DR, MORGANTOWN, WV 26505-1828
(304) 503-6239
(681) 368-3437
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2436
WV
Other
Enumeration date
11/09/2019
Last updated
01/19/2024
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