Individual
IDA MAE BYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
19805 COAL HERITAGE RD, WELCH, WV 24801-2954
(304) 436-0122
Mailing address
200 12TH STREET EXT, PRINCETON, WV 24740-2329
(304) 425-0122
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/31/2024
Last updated
11/05/2024
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