Individual
CHARLES W CONGROVE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
4449 STATE ROUTE 159, POB 6179, CHILLICOTHE, OH 45601-8620
(740) 773-4366
(740) 773-8322
Mailing address
4449 STATE ROUTE 159, POB 6179, CHILLICOTHE, OH 45601-8620
(740) 773-4366
(740) 773-8322
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E-0003054
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000305807
ANTHEM
OH
Enumeration date
02/28/2006
Last updated
07/08/2007
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