Individual
EELIJAH JAMISON CLUTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1305 WEBSTER RD, SUMMERSVILLE, WV 26651-1125
(304) 241-2369
Mailing address
180 WELLNESS DR, SUMMERSVILLE, WV 26651-5401
(304) 241-2369
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/04/2025
Last updated
07/30/2026
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