Individual
KIMBERLY MEADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
175 PHILPOT LANE, BEAVER, WV 25813
(304) 254-9262
Mailing address
107 LAUREL TER, BECKLEY, WV 25801-6508
(304) 890-6202
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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