Individual
JESSICA LAUREL THORNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, NCC, EMDR-T
Contact information
Practice address
121 SIMPSON ST, MORGANTOWN, WV 26501-5921
(304) 997-1796
(877) 471-0537
Mailing address
409 MADIGAN AVE, MORGANTOWN, WV 26501-6426
(304) 997-1796
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2107
WV
101YP2500X
Professional Counselor
PC0007030
PA
Other
Enumeration date
08/30/2013
Last updated
08/21/2020
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