Individual
CHERYL VINEYARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
314 REDWOOD DR, CHARLESTON, WV 25302-4229
(304) 342-3003
Mailing address
314 REDWOOD DR, CHARLESTON, WV 25302-4229
(304) 342-3003
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1149
WV
Other
Enumeration date
10/22/2012
Last updated
10/22/2012
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