Organization
MOUNTAINEER COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN ELIZABETH SERVIAN LPC (CLINICAL THERAPIST)
(304) 322-0463
Entity
Organization
Contact information
Practice address
235 HIGH ST, SUITE 706, MORGANTOWN, WV 26505-5429
(304) 322-0463
Mailing address
235 HIGH ST, SUITE 706, MORGANTOWN, WV 26505-5429
(304) 322-0463
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1919
WV
Other
Enumeration date
09/26/2014
Last updated
10/22/2014
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