Individual
DONALD WORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5 BROWN AVE, WESTON, WV 26452-2177
(304) 269-3923
(304) 269-9733
Mailing address
5 BROWN AVE, WESTON, WV 26452-2177
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
27065
WV
101YA0400X
Addiction (Substance Use Disorder) Counselor
27065
WV
103TC0700X
Clinical Psychologist
Primary
934
WV
Other
Enumeration date
08/31/2006
Last updated
08/21/2015
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