Individual
DANIEL JOSEPH MAINELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
200 VETERANS AVE, BECKLEY, WV 25801-6444
(304) 255-2121
Mailing address
235 CRAWFORD ST, BECKLEY, WV 25801-5633
(814) 207-3612
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
8135
PA
101YP2500X
Professional Counselor
Primary
6401018451
MI
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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