Individual
MRS. MISTY AMBER CADLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., LPC, NCC
Contact information
Practice address
108 MORRISON DR, PRINCETON, WV 24740-2322
(276) 202-8814
Mailing address
108 MORRISON DR, PRINCETON, WV 24740-2322
(276) 202-8814
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0710103104
VA
101YA0400X
Addiction (Substance Use Disorder) Counselor
2376
WV
101YM0800X
Mental Health Counselor
0701007545
VA
101YM0800X
Mental Health Counselor
2376
WV
101YP2500X
Professional Counselor
0701007545
VA
101YP2500X
Professional Counselor
Primary
2376
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427511278
—
WV
Enumeration date
12/17/2018
Last updated
05/19/2020
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