Individual
KENNETH W FITZWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
4020 US ROUTE 60, HUNTINGTON, WV 25705-2944
(304) 525-7851
(304) 525-1073
Mailing address
99 CRACKER BARREL DR STE 100, BARBOURSVILLE, WV 25504-1650
(045) 257-8513
(304) 525-1073
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1594
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1594
LPC
WV
Enumeration date
12/24/2007
Last updated
09/06/2024
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