Individual
MRS. MARY ROGERS ALDRED-CROUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, MPH, LICSW, MAC
Contact information
Practice address
1 KENTON DR STE 200, CHARLESTON, WV 25311-1256
(304) 513-3495
(800) 734-8498
Mailing address
1005 WHITE WILLOW WAY, MORGANTOWN, WV 26505-6119
(304) 513-3495
(800) 734-8498
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
510829
—
1041C0700X
Clinical Social Worker
Primary
DP00942200
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q45603G
MEDICARE
WV
Enumeration date
01/12/2007
Last updated
04/10/2026
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