Organization
FAMILY SERVICE OF MARION & HARRISON COUNTIES INC
Active
Organization
FAMILY SERVICE OF MARION & HARRISON COUNTIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLYN JONES MSW (EXECUTIVE DIRECTOR)
(304) 366-4750
Entity
Organization
Contact information
Practice address
1313 LOCUST AVE, SUITE 101, FAIRMONT, WV 26554-1435
(304) 366-4750
(304) 366-4753
Mailing address
1313 LOCUST AVE, SUITE 101, FAIRMONT, WV 26554-1435
(304) 366-4750
(304) 366-4753
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
129
WV
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001709325
BLUE CROSS BLUE SHIELD
WV
05
—
0023793000
—
WV
05
—
0023793001
—
WV
05
—
0023793003
—
WV
05
—
0023793004
—
WV
Enumeration date
08/19/2006
Last updated
05/06/2022
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