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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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