Individual
LANDON LILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
221 GEORGE ST, BECKLEY, WV 25801-2609
(681) 282-6634
Mailing address
1962 MAPLE FORK RD, MOUNT HOPE, WV 25880-9208
(304) 712-1336
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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