Individual
MR. DOUGLAS CLAYTON STOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ADC, CBCS, PRSS
Contact information
Practice address
1219 STEWART PLZ, DUNBAR, WV 25064-3021
(304) 553-2034
Mailing address
8296 OHIO RIVER RD, LESAGE, WV 25537-9793
(681) 378-3908
(304) 759-8836
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
—
—
247000000X
Health Information Technician
P7L5E7P3
WV
Other
Enumeration date
04/12/2022
Last updated
05/03/2025
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