Organization
LIBERTY COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDACE HANSON (LICENSED PSYCHOLOGIST / CEO)
(304) 601-4051
Entity
Organization
Contact information
Practice address
451 ROUTE 65, WILLIAMSON, WV 25661-7451
(304) 475-2427
Mailing address
451 ROUTE 65, WILLIAMSON, WV 25661-7451
(304) 475-2427
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
1112
WV
Other
Enumeration date
04/27/2018
Last updated
04/27/2018
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