Individual
BRANDI LYNN TRAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
824 CROSS LANES DR, CROSS LANES, WV 25313-1338
(304) 400-5066
Mailing address
824 CROSS LANES DR, CROSS LANES, WV 25313-1338
(304) 400-5066
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
WV
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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