Individual
MR. MICHAEL RUNNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2413 E PIKE ST STE 125, CLARKSBURG, WV 26301-9117
(304) 202-7001
(808) 640-3628
Mailing address
229 JOHNSON AVE, BRIDGEPORT, WV 26330-1608
(304) 838-1222
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2053
WV
Other
Enumeration date
01/31/2017
Last updated
07/04/2023
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