Individual
MRS. JACQUELINE MICHELLE MCCORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
5974 US ROUTE 60 E, BARBOURSVILLE, WV 25504-1035
(304) 736-6677
(304) 736-6677
Mailing address
5974 US ROUTE 60 E, BARBOURSVILLE, WV 25504-1035
(304) 736-6677
(304) 736-6677
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1234
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810002106
—
WV
Enumeration date
08/27/2019
Last updated
08/27/2019
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