Individual
JEANNA MCGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
4602 MACCORKLE AVE SE, CHARLESTON, WV 25304-1848
(304) 205-7535
Mailing address
104 ALEX LN, CHARLESTON, WV 25304-2952
(304) 734-2040
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1161
WV
Other
Enumeration date
07/14/2017
Last updated
04/04/2023
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